2026 NPPES data Internal Medicine Physician NPI 1750516035 MD
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NICOLE GRIGG GUTIERREZ, MD

Internal Medicine Physician in HARLINGEN, Texas. 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
1K
Medicare Part D claims · 400 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
53.4286/100
▼ 30 pts below national avg 83.1 · [object Object]
Industry payments
$64.96
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NICOLE GRIGG GUTIERREZ, MD reported a CMS MIPS final score of 53.4286/100 — below the 83.1 national average — and filed 1,002 Medicare Part D claims in 2023.

53.4286/100
MIPS score · -30 vs avg
1K
Part D claims, 2023
83%
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.

NICOLE GRIGG GUTIERREZ, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

53 5th percentile higher than 5% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

NICOLE GRIGG GUTIERREZ, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 NICOLE GRIGG GUTIERREZ, MD?

Below national average

NPI registry status

Active

Issued 05/15/2009

NPI 1750516035

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

1,002 63% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

53.4286/100 29.67139999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Texas

How Internal Medicine Physician compares to other specialties among Texas providers

Texas providers

Internal Medicine Physician share within Texas

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

Medicare quality performance — MIPS

NICOLE GRIGG GUTIERREZ, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
53.4286/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 53.4286/100 vs national avg 83.1

0%100%National avg83%53.4%
MIPS final score (Internal Medicine Physician) — 53.4286/100 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).

NICOLE GRIGG GUTIERREZ, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 512 VICTORIA LN STE 2, HARLINGEN, TX, 78550, with a listed phone of (956) 365-4400. NPI 1750516035 was issued on 05/15/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GRIGG 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 1,002 prescription claims written by this provider, covering 400 Medicare beneficiaries and totaling roughly $221K in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 1.1%. 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 53.4286/100 for the 2023 performance year (Quality 80.2997, Cost 70.7861), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

512 VICTORIA LN STE 2
HARLINGEN, TX 78550

Provider Details

NPI 1750516035
Specialty Internal Medicine Physician
Credentials MD
Gender Female
NPI Issued 05/15/2009

CMS Quality Score (MIPS)

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

53.4286
Final Score
Avg: 83.1
80.2997
Quality
70.7861
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NICOLE GRIGG 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.

GASTROENTEROLOGY CONSULTANTS OF SOUTH TEXAS, PLLC
HARLINGEN, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 NICOLE GRIGG GUTIERREZ, MD. Source: openpaymentsdata.cms.gov.

Total received

$65

Largest payer

ABBVIE 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.

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to NICOLE GRIGG GUTIERREZ, MD. To verify NICOLE GRIGG GUTIERREZ, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

NICOLE GRIGG GUTIERREZ, MD — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 1,002 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.

1,002
Total Claims
$221K
Total Drug Cost
400
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,467
Total Day Supply
40,022
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$173K
Generic Drug Cost
$49K
Opioid Claims
11 (1.1% rate)
Antibiotic Claims
42

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
1.78
Gender Split
71% female / 29% male
Age Distribution
<65: 54, 65-74: 213, 75-84: 109, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

What NICOLE GRIGG 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
Omeprazole
167
Famotidine
128
Pantoprazole Sodium
103
Sucralfate
58
Linzess
Linaclotide
57
Esomeprazole Magnesium
31
Metoclopramide Hcl
25
Dexlansoprazole Dr
Dexlansoprazole
22
Constulose
Lactulose
19
Dicyclomine Hcl
19

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

Internal Medicine Physician Overview

How NICOLE GRIGG GUTIERREZ, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

NICOLE GRIGG GUTIERREZ, MD's 1,002 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Texas

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NICOLE GRIGG GUTIERREZ, MD's specialty?
NICOLE GRIGG GUTIERREZ, MD specializes in Internal Medicine Physician and practices in HARLINGEN, Texas. Credentials: MD.
How much does NICOLE GRIGG GUTIERREZ, MD prescribe under Medicare Part D?
In 2023, NICOLE GRIGG GUTIERREZ, MD wrote 1,002 Medicare Part D claims totaling $221K in drug costs for 400 beneficiaries.
What is NICOLE GRIGG GUTIERREZ, MD's Medicare quality score?
NICOLE GRIGG GUTIERREZ, MD has a CMS MIPS Final Score of 53.4286/100 (Quality: 80.2997, Cost: 70.7861). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICOLE GRIGG GUTIERREZ, MD located?
NICOLE GRIGG GUTIERREZ, MD is located at 512 VICTORIA LN STE 2, HARLINGEN, TX, 78550. Phone: (956) 365-4400.
What is NICOLE GRIGG GUTIERREZ, MD's NPI number?
NICOLE GRIGG GUTIERREZ, MD's National Provider Identifier (NPI) is 1750516035, issued on 05/15/2009.
Does NICOLE GRIGG GUTIERREZ, MD prescribe more brand-name or generic drugs?
NICOLE GRIGG GUTIERREZ, MD's prescribing is 17% brand-name and 83% generic drugs by claim count, with $173K in brand drug costs.
Does NICOLE GRIGG GUTIERREZ, MD prescribe opioids?
Yes, NICOLE GRIGG GUTIERREZ, MD had 11 opioid claims in 2023 with an opioid prescribing rate of 1.1%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does NICOLE GRIGG GUTIERREZ, MD prescribe most often?
Based on 2023 Medicare Part D data, NICOLE GRIGG GUTIERREZ, MD's most frequently prescribed drugs include Omeprazole, Famotidine, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICOLE GRIGG GUTIERREZ, MD accept Medicare?
NICOLE GRIGG GUTIERREZ, MD appears in CMS Medicare data with 1,002 Part D claims and 400 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLE GRIGG GUTIERREZ, MD's credentials?
NICOLE GRIGG GUTIERREZ, MD's NPI is 1750516035 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