NPPES file of Aug 9, 2026

Larina V. Gutenberg, DO

Pain Medicine (Anesthesiology) Physician · San Antonio, TX

Larina V. Gutenberg, DO is a pain medicine (anesthesiology) physician with a practice address in San Antonio, Texas, and NPI 1194994681, issued on Feb 28, 2008. Check the license (Texas N3706, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1194994681
Name
Larina V. Gutenberg
Credential
DO
Primary taxonomy
Pain Medicine (Anesthesiology) Physician 207LP2900X
License numbers
N3706 TX
58. 001534 OH
Self-reported in NPPES; status is on the state search
Practice location
5522 Lone Star Pkwy, Bldg 2, San Antonio, TX 78253
Phone
(210) 298-4900
Enumerated
Feb 28, 2008
Record last updated
Apr 26, 2022
Fax
(210) 298-6631
Medicaid ID
211146001 TX
Medicare enrollment
Enrolled (PECOS I20091005000617); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 5522 Lone Star Pkwy, Bldg 2

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Roberto Diaz, MDPain Medicine (Anesthesiology) Physician1649591595

Verify Larina V. Gutenberg in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license N3706
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Texas license search

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44% more Medicare Part D claims than the average pain medicine (anesthesiology) physician in 2024

2,523 Medicare Part D claims for 425 beneficiaries, against an average of 1,750 among the 2,982 providers of this specialty who prescribed in Part D. Brand-name drugs were 5% of claims. 1,494 claims were for opioids.

  1. Larina Gutenberg2,523
  2. Specialty average1,750

Most prescribed

  1. Hydrocodone-Acetaminophen899 claims
  2. Gabapentin198 claims
  3. Oxycodone-Acetaminophen185 claims
  4. Tizanidine Hcl152 claims
  5. Lidocaine105 claims
  6. Oxycodone Hcl86 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 0 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score0.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities0 of 40 points · 15%0.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $854.69

20 payments; by number, the most common kind was food and beverage; the largest payer was Abbott Laboratories. The 2,789 providers of this specialty with any payment received $3,225.41 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Larina Gutenberg$854.69
  2. Specialty average$3,225.41

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Larina V Gutenberg DO PLLCSan Antonio, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Larina V. Gutenberg among 382 pain medicine (anesthesiology) physician records in Texas

Larina V. Gutenberg, DO is one of 382 pain medicine (anesthesiology) physician records with a practice address in Texas. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 52% of them.

  • NPI issued2008 · 52% of these records are older, 42% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 74% of these records are
  • Graduated2004 · median 2007 among the 284 with a school on file
  • Record last updated2022 · 52% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207LP2900X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pain Medicine (Anesthesiology) Physician providers in Texas

There are 382 pain medicine (anesthesiology) physician records in Texas.

The 8 pain medicine (anesthesiology) physician records with the nearest ZIP codes

  1. Roberto Diaz, MDSan Antonio, TX 782531649591595
  2. Prabhdeep Grewal, MDSan Antonio, TX 782511215156542
  3. Arnold Deleon, M.D.San Antonio, TX 782401104001148
  4. Jay Ellis, M.D.San Antonio, TX 782401972535524
  5. John Hall, D.O.San Antonio, TX 782401639152416
  6. Michael Hunter, M.D.San Antonio, TX 782401528447521
  7. Robert Joyner, M.D.San Antonio, TX 782401780686535
  8. Bryan LaiSan Antonio, TX 782401932527074

Common questions

What is Larina V. Gutenberg, DO's NPI number?

Larina V. Gutenberg, DO's National Provider Identifier (NPI) is 1194994681, issued on Feb 28, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Larina V. Gutenberg, DO located?

The NPPES record lists a practice address at 5522 Lone Star Pkwy, Bldg 2, San Antonio, TX, 78253. Phone: (210) 298-4900. Providers update this record themselves, so call before visiting.

How can I verify Larina V. Gutenberg, DO's license?

NPPES lists Texas license number N3706, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Larina V. Gutenberg, DO prescribe under Medicare Part D?

In 2024, Larina V. Gutenberg, DO had 2,523 Medicare Part D claims for 425 beneficiaries; the average among pain medicine (anesthesiology) physician prescribers was 1,750. Part D covers Medicare prescriptions only.

What is Larina V. Gutenberg, DO's MIPS final score?

The 2023 MIPS final score is 0 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.