Thomas Gutierrez , RN, MSN, FNP
Nurse Practitioner β’ Boerne, TX
1381 S. Main St.
Boerne, TX 78006
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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Thomas Gutierrez is listed in NPPES under Nurse Practitioner.
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NPI assigned on July 14, 2006; this date does not establish years in practice.
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Published CMS data list 22 Medicare Part D prescriptions, including refills, in 2013.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2013. Published rows only; this is not a quality measure.
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Published Part D records, 2013:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) β 22 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2013. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table Β· Guide: How to read Medicare Part D prescriber data
Practice Location & Contact Primary Location
1381 S. Main St.
Boerne, TX 78006
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
22 standardized 30-day fills in 2013
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
$122 in 2013
The total cost of these prescriptions in 2013, 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 β by Provider and Drug, 2013.
Open Payments general payments, program year 2024
All general payments: $44.65 across 2 records.
By nature of payment
- Food and Beverage: $44.65 across 2 records.
Reporting-company totals
- ABIOMED: $44.65 across 2 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 2024 (published June 30, 2026).
NPI first issued
2006
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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, βDoes your provider accept Medicare as full payment?β
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.
Compared with the same specialty in Boerne and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Thomas Gutierrez are from 2013.
6 active clinicians are listed under Nurse Practitioner with a practice address in Boerne, TX (4,835 in Texas).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
CMS data for Part D prescriptions are available for 2013 only.
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30-day fills
CMS data for 30-day fills are available for 2013 only.
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Part D drug cost
CMS data for Part D drug cost are available for 2013 only.
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2024 only.
Sources: CMS Medicare Part D Prescribers (2013), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· 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 2024 (payments made January 1 β December 31, 2024): fewer than 11 records totaling $44.65.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABIOMED |
Food and Beverage
Cash or cash equivalent
|
Impella | General | $27.98 |
| ABIOMED |
Food and Beverage
Cash or cash equivalent
|
Impella | General | $16.67 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2013.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 22 | 71 | $121.58 | 22 |
Source: CMS Part D by Provider and Drug, 2013; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Career & Practice History
NPI enumerated July 14, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Boerne
- Nichole Graeber, C-NP
- Aaron Saul, APRN-CNP
- Madisen Hall
- Dr. Kira Cortez, DNP, APRN, CNE, FNP
- Melissa Cooley
Mailing Address
254 Millwood Ln
San Antonio, TX 782166704
Phone: 2107104127