2026 NPPES data Specialist NPI 1366438061 MD
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ELSA GUTIERREZ, MD

Specialist in SAINT LOUIS, Missouri. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
733
Medicare Part D claims · 214 beneficiaries · Specialist avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$558.32
22 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ELSA GUTIERREZ, MD is a Specialist ([object Object]) practicing in SAINT LOUIS, Missouri with a Medicare Part D prescribing footprint of 733 claims across 214 beneficiaries — 9% brand-name prescribing . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $558.32 across 22 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ELSA GUTIERREZ, MD reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 733 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ELSA GUTIERREZ, MD at a glance

Below national average

NPI registry status

Active

Issued 09/27/2005

NPI 1366438061

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

733 50% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Missouri

How Specialist compares to other specialties among Missouri providers

Missouri providers

Specialist share within Missouri

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Missouri

Medicare quality performance — MIPS

ELSA GUTIERREZ, MD's 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Specialist) — 0/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ELSA GUTIERREZ, MD is a Specialist provider practicing in SAINT LOUIS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1366438061. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ELSA GUTIERREZ, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 522 N NEW BALLAS RD, SAINT LOUIS, MO, 63141, with a listed phone of (314) 991-8700. NPI 1366438061 was issued on 09/27/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUTIERREZ most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 733 prescription claims written by this provider, covering 214 Medicare beneficiaries and totaling roughly $426K in drug spend, split 9% brand-name and 91% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

522 N NEW BALLAS RD
SAINT LOUIS, MO 63141

Provider Details

NPI 1366438061
Specialty Specialist
Credentials MD
Gender Female
NPI Issued 09/27/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ELSA GUTIERREZ, MD. Source: openpaymentsdata.cms.gov.

Total received

$558

Largest payer

Dermavant Sciences, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

ELSA GUTIERREZ, MD — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 733 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

733
Total Claims
$426K
Total Drug Cost
214
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
771
Total Day Supply
20,364
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$406K
Generic Drug Cost
$20K
Antibiotic Claims
82

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
0.95
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Ketoconazole
118
Triamcinolone Acetonide
102
Clobetasol Propionate
62
Metronidazole
50
Hydrocortisone
39
Doxycycline Hyclate
35
Valacyclovir
Valacyclovir Hcl
34
Fluocinonide
30
Mupirocin
27
Nystatin
23

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Specialist Overview

How ELSA GUTIERREZ, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

ELSA GUTIERREZ, MD's 733 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Missouri

Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as GUTIERREZ.

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is ELSA GUTIERREZ, MD's specialty?
ELSA GUTIERREZ, MD specializes in Specialist and practices in SAINT LOUIS, Missouri. Credentials: MD.
How much does ELSA GUTIERREZ, MD prescribe under Medicare Part D?
In 2023, ELSA GUTIERREZ, MD wrote 733 Medicare Part D claims totaling $426K in drug costs for 214 beneficiaries.
What is ELSA GUTIERREZ, MD's Medicare quality score?
ELSA GUTIERREZ, MD has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ELSA GUTIERREZ, MD located?
ELSA GUTIERREZ, MD is located at 522 N NEW BALLAS RD, SAINT LOUIS, MO, 63141. Phone: (314) 991-8700.
What is ELSA GUTIERREZ, MD's NPI number?
ELSA GUTIERREZ, MD's National Provider Identifier (NPI) is 1366438061, issued on 09/27/2005.
Does ELSA GUTIERREZ, MD prescribe more brand-name or generic drugs?
ELSA GUTIERREZ, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $406K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does ELSA GUTIERREZ, MD prescribe most often?
Based on 2023 Medicare Part D data, ELSA GUTIERREZ, MD's most frequently prescribed drugs include Ketoconazole, Triamcinolone Acetonide, Clobetasol Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ELSA GUTIERREZ, MD accept Medicare?
ELSA GUTIERREZ, MD appears in CMS Medicare data with 733 Part D claims and 214 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ELSA GUTIERREZ, MD's credentials?
ELSA GUTIERREZ, MD's NPI is 1366438061 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology