Daniel Alejandro Gutierrez , RPAC
Physician Assistant • Sebastian, FL
7765 144th St Unit 1
Sebastian, FL 329583206
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Daniel Gutierrez is listed in NPPES under Physician Assistant.
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NPI assigned on February 10, 2015; this date does not establish years in practice.
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Published CMS data list 6,374 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 17003 — Destruction of precancer skin growth, 2-14 growths: 2,623 service units.
- 99213 — Established patient outpatient office visit: 990 service units.
- 17000 — Destruction of precancer skin growth, 1 growth: 759 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 19 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 2,024 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Mometasone Furoate — 374 prescription fills, including refills.
- Ketoconazole — 364 prescription fills, including refills.
- Clobetasol Propionate — 227 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 25 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,231 in 2020 to 6,374 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
7765 144th St Unit 1
Sebastian, FL 329583206
NPPES lists 1 additional practice-address record in Vero Beach, FL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Aqua Dermatology Of Florida, Pa. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2014
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
882 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $316,059 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $220,199 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
2,158 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$49,126 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,612.97 across 74 records.
By nature of payment
- Food and Beverage: $1,435.85 across 71 records.
- Education: $177.12 across 3 records.
Reporting-company totals (3 largest of 18)
- Regeneron Pharmaceuticals, Inc.: $389.30 across 13 records.
- Bristol Myers Squibb Company: $177.23 across 7 records.
- Sanofi and Genzyme US Companies: $150.29 across 7 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
12 years (graduated 2014)
CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2015
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Daniel Gutierrez has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Daniel Gutierrez as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Sebastian and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.
Too few clinicians listed under Physician Assistant in Sebastian have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $19,984. Middle half: $7,371 to $51,670.
Too few clinicians listed under Physician Assistant in Sebastian have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $14,814. Middle half: $5,414 to $38,190.
Too few clinicians listed under Physician Assistant in Sebastian have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: 270. Middle half: 78 to 825.
Too few clinicians listed under Physician Assistant in Sebastian have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: $5,225. Middle half: $703 to $70,250.
Too few clinicians listed under Physician Assistant in Sebastian have Medicare Part D data for 2024 to compare.
13 active clinicians are listed under Physician Assistant with a practice address in Sebastian, FL (10,260 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Sebastian
15.4% of these 13 clinicians have the CMS telehealth indicator.
76.9% of these 13 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 418% from 1,231 in 2020 to 6,374 in 2024.
- 2020: 1,231
- 2021: 1,242
- 2022: 1,717
- 2023: 4,644
- 2024: 6,374
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Medicare-allowed amount
Medicare-allowed amount increased 533% from $49,933 in 2020 to $316,059 in 2024.
- 2020: $49,933
- 2021: $53,572
- 2022: $78,971
- 2023: $221,241
- 2024: $316,059
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Paid by Medicare
Paid by Medicare increased 485% from $37,614 in 2020 to $220,199 in 2024.
- 2020: $37,614
- 2021: $40,134
- 2022: $56,016
- 2023: $168,478
- 2024: $220,199
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 56% from 1,296 in 2020 to 2,024 in 2024.
- 2020: 1,296
- 2021: 908
- 2022: 1,059
- 2023: 1,339
- 2024: 2,024
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30-day fills
30-day fills increased 57% from 1,375 in 2020 to 2,158 in 2024.
- 2020: 1,375
- 2021: 933
- 2022: 1,115
- 2023: 1,400
- 2024: 2,158
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Part D drug cost
Part D drug cost decreased 70% from $161,741 in 2020 to $49,126 in 2024.
- 2020: $161,741
- 2021: $151,782
- 2022: $565,630
- 2023: $452,834
- 2024: $49,126
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $724.41 in 2021 to $1,612.97 in 2025.
- 2021: $724.41
- 2022: $859.10
- 2023: $1,686.86
- 2024: $1,664.99
- 2025: $1,612.97
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 74 records totaling $1,612.97.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Regeneron Pharmaceuticals, Inc. |
Education
In-kind items and services
|
DUPIXENT | General | $98.35 |
| Bristol Myers Squibb Company |
Education
In-kind items and services
|
Sotyktu | General | $72.00 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
COSENTYX | General | $34.49 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $33.26 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $32.55 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $31.11 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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SPEVIGO | General | $30.99 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $30.82 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $30.28 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $29.29 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
SPEVIGO | General | $29.12 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $28.84 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
|
Sotyktu | General | $28.05 |
| Incyte Corporation |
Food and Beverage
Cash or cash equivalent
|
OPZELURA | General | $27.95 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
OTEZLA | General | $27.32 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
TALTZ | General | $26.99 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $26.66 |
| LEO Pharma Inc. |
Food and Beverage
In-kind items and services
|
SPEVIGO | General | $26.55 |
| Incyte Corporation |
Food and Beverage
Cash or cash equivalent
|
OPZELURA | General | $26.17 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $26.10 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
LIBTAYO | General | $25.94 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
LITFULO | General | $25.53 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
Rhapsido | General | $25.15 |
| Almirall LLC |
Food and Beverage
In-kind items and services
|
Seysara | General | $24.67 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
RINVOQ | General | $24.60 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2019–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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17003
Destruction of precancer skin growth, 2-14 growths
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2,623 | 371 | $13.98 | $5.54 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
990 | 571 | $190.93 | $77.84 |
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17000
Destruction of precancer skin growth, 1 growth
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759 | 464 | $141.94 | $37.89 |
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17110
Destruction of skin growth, 1-14 growths
|
616 | 424 | $237.00 | $94.95 |
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11102
Biopsy of related skin growth, first growth
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387 | 321 | $209.00 | $70.08 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
245 | 214 | $270.00 | $109.69 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
184 | 184 | $237.55 | $96.54 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
128 | 128 | $357.00 | $144.50 |
|
11103
Biopsy of related skin growth, each additional growth
|
94 | 73 | $105.00 | $42.64 |
|
17004
Destruction of precancer skin growth, 15 or more growths
|
64 | 50 | $352.00 | $143.07 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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46 | 38 | $2.00 | $0.95 |
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11900
Injection into skin growth, 1-7 growths
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44 | 39 | $122.00 | $32.40 |
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13121
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm
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34 | 33 | $897.00 | $364.05 |
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10060
Simple or single drainage of skin abscess
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33 | 33 | $268.00 | $109.06 |
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11602
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
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33 | 32 | $516.00 | $104.52 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
29 | 26 | $119.00 | $48.45 |
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13101
Complicated repair of wound of trunk, 2.6-7.5 cm
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23 | 23 | $836.00 | $338.99 |
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11603
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
|
21 | 20 | $593.00 | $120.10 |
|
69100
Biopsy of ear
|
21 | 20 | $201.00 | $56.18 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Mometasone Furoate | Mometasone Furoate | 374 | 10,143 | $6,948.30 | 284 |
| Ketoconazole | Ketoconazole | 364 | 11,343 | $7,347.95 | 235 |
| Clobetasol Propionate | Clobetasol Propionate | 227 | 6,205 | $9,485.33 | 142 |
| Doxycycline Hyclate | Doxycycline Hyclate | 187 | 1,812 | $1,845.46 | 155 |
| Mupirocin | Mupirocin | 182 | 3,558 | $1,354.98 | 134 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 79 | 3,024 | $1,415.01 | 59 |
| Ammonium Lactate | Ammonium Lactate | 77 | 2,704 | $1,601.67 | 49 |
| Metronidazole | Metronidazole | 67 | 2,147 | $3,958.54 | 45 |
| Prednisone | Prednisone | 61 | 844 | $152.68 | 56 |
| Tacrolimus | Tacrolimus | 51 | 1,361 | $7,120.16 | 34 |
| Ciclopirox | Ciclopirox | 50 | 1,405 | $1,499.54 | 27 |
| Ciclopirox | Ciclopirox Olamine | 42 | 1,381 | $840.50 | 26 |
| Fluorouracil | Fluorouracil | 39 | 1,215 | $2,133.05 | 30 |
| Valacyclovir | Valacyclovir Hcl | 31 | 270 | $560.30 | 16 |
| Clindamycin Phosphate | Clindamycin Phosphate | 28 | 939 | $700.82 | 22 |
| Hydrocortisone | Hydrocortisone | 25 | 661 | $424.29 | 23 |
| Imiquimod | Imiquimod | 25 | 826 | $618.93 | 18 |
| Terbinafine Hcl | Terbinafine Hcl | 24 | 555 | $246.70 | — |
| Cephalexin | Cephalexin | 20 | 148 | $107.39 | 19 |
| Lidocaine-Prilocaine | Lidocaine/Prilocaine | 15 | 350 | $205.71 | — |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 12 | 420 | $82.88 | — |
| Pantoprazole Sodium | Pantoprazole Sodium | 11 | 310 | $231.00 | — |
| Acyclovir | Acyclovir | 11 | 71 | $29.70 | — |
| Minocycline Hcl | Minocycline Hcl | 11 | 264 | $105.91 | — |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 11 | 91 | $109.16 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-03-22NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20181218002901
FL
0042517252
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Aqua Dermatology Of Florida, Pa
7765 144th St, Sebastian, FL 329583206
Phone: 7722176621
Aqua Dermatology Of Florida, Pa
3498 Nw Federal Hwy, Jensen Beach, FL 349574441
Phone: 7722176486
Aqua Dermatology Of Florida, Pa
1015 Crosspointe Dr, Naples, FL 341100949
Phone: 2395969075
Aqua Dermatology Of Florida, Pa
5101 Okeechobee Rd, Fort Pierce, FL 349475415
Phone: 7222176153
Secondary Practice Locations
805 37th Pl
Vero Beach, FL 329606564
Phone: 7722577373
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant - Medical
Physician Assistant (Certified)
Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 7765 144TH ST UNIT 1, SEBASTIAN, FL 329583206 (Tel: 7723883551)
Registered at 900 VILLAGE SQUARE XING STE 290, PALM BCH GDNS, FL 334104552
Physician Assistant (license number reported to NPPES: FL PA9111265)
Registered at 715 W BOYNTON BEACH BLVD STE C, BOYNTON BEACH, FL 33426 (Tel: 5617378376)
Registered at 35 GREEN POND RD STE C, ROCKAWAY, NJ 078662057 (Tel: 9736250600)
NPI status registered as active in NPPES database
Registered at 9033 ELMHURST AVE, JACKSON HEIGHTS, NY 113727935 (Tel: 7184577000)
Registered at 9033 ELMHURST AVE, JACKSON HEIGHTS, NY 113727935 (Tel: 7184577000)
Recorded as DANIEL GUTIERREZ, RPAC
Physician Assistant (license number reported to NPPES: NY 018002)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Sebastian
- Demytra Wolf, PA
- Samantha Gleason, PA-C
- Thomas Puskar, PA-C
- Michael Antonis, PA
- Brielle Buckley, PA
- Catherine Cheries, PA
Mailing Address
900 Village Square Xing Ste 290
Palm Bch Gdns, FL 334104552