NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1255330718 MD
Verify on CMS → Ernesto Gutierrez, MD
Rheumatology Physician in Lebanon, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,377 in Rheumatology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
7K
Medicare Part D claims · 947 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
85%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Ernesto Gutierrez, MD filed 6,855 Medicare Part D claims in 2024 as a Rheumatology Physician in Lebanon, Pennsylvania, prescribing 85% generic.
- 7K
- Part D claims, 2024
- 85%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥96th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Ernesto Gutierrez, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1255330718), first enumerated 07/18/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 6,855 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Ernesto Gutierrez, MD's individual license status. Verify directly with the state medical board.
Source: PA-BOM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1255330718 · Rheumatology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1255330718
- ENUM-LEGACY 2005
- TAX-MID 6K Rheumatology Physician
- RX-MID 6,855
- BOOK-THIN 336 in Pennsylvania
- PHOTO-ENUM Sonia Bajaj · 2005
Ernesto Gutierrez, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
6,855 ≥ 96th percentile 96% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Ernesto Gutierrez, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Ernesto Gutierrez, MD?
Quality data not reportedPrimary specialty
Rheumatology Physician
Medicare Part D claims
6,855 233% vs specialty avg
Specialty distribution in Pennsylvania
How Rheumatology Physician compares to other specialties among Pennsylvania providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Rheumatology Physician. Verify directly:
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1255330718 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/18/2005 |
Hospital and facility affiliations
Facilities where Ernesto Gutierrez, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Lebanon Internal Medicine Associates PC
Lebanon, PA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Pennsylvania PA-BOM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Ernesto Gutierrez, MD. To verify Ernesto Gutierrez, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Ernesto Gutierrez, MD - brand share 14.0%
Rheumatology Physician average
14% brand-name claims vs 85% generic, on 6,855 2024 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 2024.
6,855
Total Claims
$4.0M
Total Drug Cost
947
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 13,785.533
- Total Day Supply
- 399,573
- Brand vs Generic
- 14% brand / 85% generic
- Brand Drug Cost
- $3.8M
- Generic Drug Cost
- $185K
- Opioid Claims
- 590 (8.6% rate)
- Antibiotic Claims
- 131
Patient Demographics
- Average Patient Age
- 73.4 years
- Avg HCC Risk Score
- 1.46
- Gender Split
- 75% female / 25% male
- Age Distribution
- <65: 99, 65-74: 425, 75-84: 331, 85+: 92
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Ernesto Gutierrez, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
1,105 claims
- Methotrexate
Methotrexate
852 claims
- Duloxetine Hcl
Duloxetine Hcl
596 claims
- Prednisone
Prednisone
444 claims
- Tramadol Hcl 335
Tramadol Hcl
335 claims
- Alendronate Sodium 257
Alendronate Sodium
257 claims
- Gabapentin 210
Gabapentin
210 claims
- Hydrocodone-Acetam… 184
Hydrocodone-Acetaminophen
184 claims
| Drug | Claims |
|---|---|
| Hydroxychloroquine Sulfate | 1,105 |
| Methotrexate Methotrexate Sodium | 852 |
| Duloxetine Hcl | 596 |
| Prednisone | 444 |
| Tramadol Hcl | 335 |
| Alendronate Sodium | 257 |
| Gabapentin | 210 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 184 |
| Allopurinol | 148 |
| Humira(Cf) Pen Adalimumab | 118 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How Ernesto Gutierrez, MD fits within the Rheumatology Physician landscape nationally.
6,377
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,058
Avg Claims per Provider
Ernesto Gutierrez, MD's 6,855 claims are above the specialty average of 2,058.
Nationwide Rheumatology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Gutierrez, both outside Pennsylvania so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Rheumatology Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Gutierrez.
One of 336 Rheumatology Physician providers enrolled in Pennsylvania, 5 are shown here.
Dr. Ravi Acharya
M.D.
Gettysburg, PA
Antonio Achkar
Pittsburgh, PA
Dr. Sandhya Adusumilli
M.D.
Lancaster, PA
Dr. Rohit Aggarwal
M.D.
Pittsburgh, PA
Dr. Shirley Albano
MD
Hershey, PA
Compare Rheumatology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Ernesto Gutierrez, MD's specialty? ▼
Ernesto Gutierrez, MD specializes in Rheumatology Physician and practices in Lebanon, Pennsylvania. Credentials: MD.
How much does Ernesto Gutierrez, MD prescribe under Medicare Part D? ▼
In 2024, Ernesto Gutierrez, MD wrote 6,855 Medicare Part D claims totaling $4.0M in drug costs for 947 beneficiaries.
Where is Ernesto Gutierrez, MD located? ▼
Ernesto Gutierrez, MD is located at 755 NORMAN DR, Lebanon, PA, 17042. Phone: (717) 273-6706.
What is Ernesto Gutierrez, MD's NPI number? ▼
Ernesto Gutierrez, MD's National Provider Identifier (NPI) is 1255330718, issued on 07/18/2005.
Does Ernesto Gutierrez, MD prescribe more brand-name or generic drugs? ▼
Ernesto Gutierrez, MD's prescribing is 14% brand-name and 85% generic drugs by claim count, with $3.8M in brand drug costs.
Does Ernesto Gutierrez, MD prescribe opioids? ▼
Yes, Ernesto Gutierrez, MD had 590 opioid claims in 2024 with an opioid prescribing rate of 8.6%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,377 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,058 Medicare Part D claims per year.
What drugs does Ernesto Gutierrez, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Ernesto Gutierrez, MD's most frequently prescribed drugs include Hydroxychloroquine Sulfate, Methotrexate, Duloxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ernesto Gutierrez, MD accept Medicare? ▼
Ernesto Gutierrez, MD appears in CMS Medicare data with 6,855 Part D claims and 947 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ernesto Gutierrez, MD's credentials? ▼
Ernesto Gutierrez, MD's NPI is 1255330718 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
View source datasets and methodology notes
- 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.