2026 NPPES data Rheumatology Physician NPI 1255330718 MD
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ERNESTO GUTIERREZ, MD

Rheumatology Physician in LEBANON, Pennsylvania. 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
6K
Medicare Part D claims · 778 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

ERNESTO GUTIERREZ, MD filed 5,975 Medicare Part D claims in 2023 as a Rheumatology Physician in LEBANON, Pennsylvania, prescribing 87% generic.

6K
Part D claims, 2023
87%
generic prescribing
Likely
board-certified (heuristic)

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.

ERNESTO GUTIERREZ, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

5,975 Top 5% higher than 95% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

ERNESTO GUTIERREZ, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — 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 reported

NPI registry status

Active

Issued 07/18/2005

NPI 1255330718

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

5,975 191% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

Specialty distribution in Pennsylvania

How Rheumatology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Rheumatology Physician share within Pennsylvania

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within Pennsylvania

Specialty board-certification context

Estimated specialty board-certified rate — Rheumatology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Rheumatology Physician ABMS/AOA estimate

Est. board-certified rate (Rheumatology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Rheumatology Physician) — ABMS / AOA estimate

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).

ERNESTO GUTIERREZ, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 755 NORMAN DR, LEBANON, PA, 17042, with a listed phone of (717) 273-6706. NPI 1255330718 was issued on 07/18/2005. 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 5,975 prescription claims written by this provider, covering 778 Medicare beneficiaries and totaling roughly $3.3 million in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 7.7%. 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.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

755 NORMAN DR
LEBANON, PA 17042

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
PHOENIX REHABILITATION AND HEALTH SERVICES INC
CRANBERRY TOWNSHIP, 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 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 5,975 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.

5,975
Total Claims
$3.3M
Total Drug Cost
778
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,514
Total Day Supply
334,367
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$3.1M
Generic Drug Cost
$196K
Opioid Claims
458 (7.7% rate)
Antibiotic Claims
137

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.40
Gender Split
75% female / 25% male
Age Distribution
<65: 85, 65-74: 354, 75-84: 273, 85+: 66

Top Prescribed Drugs (Medicare Part D)

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

What ERNESTO GUTIERREZ, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Hydroxychloroquine Sulfate
919
Methotrexate
Methotrexate Sodium
744
Duloxetine Hcl
466
Prednisone
379
Alendronate Sodium
283
Tramadol Hcl
277
Gabapentin
166
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
142
Allopurinol
137
Diclofenac Sodium
119

* 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.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

ERNESTO GUTIERREZ, MD's 5,975 claims are above the specialty average of 2,054.

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.

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 2023, ERNESTO GUTIERREZ, MD wrote 5,975 Medicare Part D claims totaling $3.3M in drug costs for 778 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 13% brand-name and 87% generic drugs by claim count, with $3.1M in brand drug costs.
Does ERNESTO GUTIERREZ, MD prescribe opioids?
Yes, ERNESTO GUTIERREZ, MD had 458 opioid claims in 2023 with an opioid prescribing rate of 7.7%.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does ERNESTO GUTIERREZ, MD prescribe most often?
Based on 2023 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 5,975 Part D claims and 778 Medicare beneficiaries in 2023. 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

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.
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