2026 NPPES data Rehabilitation Practitioner NPI 1063413482 MD
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OMAR COLON GUTIERREZ, MD

Rehabilitation Practitioner in PLANO, 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
836
Medicare Part D claims · 201 beneficiaries · Rehabilitation Practitioner avg: 543
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
What the federal data reveals: OMAR COLON GUTIERREZ, MD is a Rehabilitation Practitioner ([object Object]) practicing in PLANO, Texas with a Medicare Part D prescribing footprint of 836 claims across 201 beneficiaries — 8% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: OMAR COLON GUTIERREZ, MD reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 836 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

OMAR COLON GUTIERREZ, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/09/2005

NPI 1063413482

Primary specialty

Rehabilitation Practitioner

Mid-sized

18,261 US NPIs in this specialty

Medicare Part D claims

836 54% vs specialty avg

2023 prescription claims

Specialty avg: 543

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Rehabilitation Practitioner compares to other specialties among Texas providers

Texas providers

Rehabilitation Practitioner share within Texas

1. Rehabilitation Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rehabilitation Practitioner share within Texas

Medicare quality performance — MIPS

OMAR COLON GUTIERREZ, MD's 2023 MIPS final score plotted against the Rehabilitation Practitioner national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rehabilitation Practitioner) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Rehabilitation Practitioner) — 100/100 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).

OMAR COLON GUTIERREZ, MD is a Rehabilitation Practitioner provider practicing in PLANO, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1063413482. 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.

OMAR COLON GUTIERREZ, MD appears in the CMS NPPES registry as a Rehabilitation Practitioner provider holding MD credentials at 2800 W 15TH ST, PLANO, TX, 75075, with a listed phone of (972) 378-6908. NPI 1063413482 was issued on 08/09/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COLON 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 836 prescription claims written by this provider, covering 201 Medicare beneficiaries and totaling roughly $61K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 46.9%. 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 100/100 for the 2023 performance year (Quality 95), compared with the national average of 83.1.

Rehabilitation Practitioner is a mid-sized specialty nationwide, with 18,261 enrolled providers across 51 states and an average of 543 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

2800 W 15TH ST
PLANO, TX 75075

Provider Details

NPI 1063413482
Specialty Rehabilitation Practitioner
Credentials MD
Gender Male
NPI Issued 08/09/2005

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
95
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where OMAR COLON 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.

NEUROMUSCULOSKELETAL REHABILITATION MEDICINE CONSULTANT
PLANO, 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).

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 OMAR COLON GUTIERREZ, MD. To verify OMAR COLON 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 · Generic-heavy

OMAR COLON GUTIERREZ, MD — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 836 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.

836
Total Claims
$61K
Total Drug Cost
201
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
874
Total Day Supply
22,007
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$41K
Generic Drug Cost
$20K
Opioid Claims
392 (46.9% rate)

Patient Demographics

Average Patient Age
75.5 years
Avg HCC Risk Score
2.61
Gender Split
69% female / 31% male
Age Distribution
<65: 15, 65-74: 69, 75-84: 88, 85+: 29

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
188
Oxycodone Hcl
70
Gabapentin
64
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
41
Cyclobenzaprine Hcl
33
Pregabalin
29
Tramadol Hcl
27
Oxycontin
Oxycodone Hcl
24
Meloxicam
17
Alprazolam
16

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

Rehabilitation Practitioner Overview

How OMAR COLON GUTIERREZ, MD fits within the Rehabilitation Practitioner landscape nationally.

18,261
Rehabilitation Practitioner Providers in US
51
States with Rehabilitation Practitioner
543
Avg Claims per Provider

OMAR COLON GUTIERREZ, MD's 836 claims are above the specialty average of 543.

Nearby Rehabilitation Practitioner Providers in Texas

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

Compare Rehabilitation Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is OMAR COLON GUTIERREZ, MD's specialty?
OMAR COLON GUTIERREZ, MD specializes in Rehabilitation Practitioner and practices in PLANO, Texas. Credentials: MD.
How much does OMAR COLON GUTIERREZ, MD prescribe under Medicare Part D?
In 2023, OMAR COLON GUTIERREZ, MD wrote 836 Medicare Part D claims totaling $61K in drug costs for 201 beneficiaries.
What is OMAR COLON GUTIERREZ, MD's Medicare quality score?
OMAR COLON GUTIERREZ, MD has a CMS MIPS Final Score of 100/100 (Quality: 95). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is OMAR COLON GUTIERREZ, MD located?
OMAR COLON GUTIERREZ, MD is located at 2800 W 15TH ST, PLANO, TX, 75075. Phone: (972) 378-6908.
What is OMAR COLON GUTIERREZ, MD's NPI number?
OMAR COLON GUTIERREZ, MD's National Provider Identifier (NPI) is 1063413482, issued on 08/09/2005.
Does OMAR COLON GUTIERREZ, MD prescribe more brand-name or generic drugs?
OMAR COLON GUTIERREZ, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $41K in brand drug costs.
Does OMAR COLON GUTIERREZ, MD prescribe opioids?
Yes, OMAR COLON GUTIERREZ, MD had 392 opioid claims in 2023 with an opioid prescribing rate of 46.9%.
How many Rehabilitation Practitioner providers are there in the US?
There are 18,261 Rehabilitation Practitioner providers across 51 states in the US. The average Rehabilitation Practitioner provider writes 543 Medicare Part D claims per year.
What drugs does OMAR COLON GUTIERREZ, MD prescribe most often?
Based on 2023 Medicare Part D data, OMAR COLON GUTIERREZ, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone Hcl, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does OMAR COLON GUTIERREZ, MD accept Medicare?
OMAR COLON GUTIERREZ, MD appears in CMS Medicare data with 836 Part D claims and 201 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify OMAR COLON GUTIERREZ, MD's credentials?
OMAR COLON GUTIERREZ, MD's NPI is 1063413482 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