Leonel Gutierrez
Nurse Practitioner - Acute Care • Laredo, TX
10710 Mcpherson Rd Ste 300
Laredo, TX 780456411
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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Leonel Gutierrez is listed in NPPES under Nurse Practitioner - Acute Care.
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NPI assigned on February 24, 2023; this date does not establish years in practice.
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Published CMS data list 175 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- 99232 — Subsequent hospital care with moderate levelof medical decision making: 102 service units.
- 99222 — Initial hospital care with straightforward or low-level medical decision making: 36 service units.
- 99213 — Established patient outpatient office visit: 20 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See all 4 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,038 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:
- Atorvastatin Calcium — 170 prescription fills, including refills.
- Metoprolol Succinate — 118 prescription fills, including refills.
- Entresto (Sacubitril/Valsartan) — 86 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 29 records in the table · Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 80% of clinicians listed under Nurse Practitioner - Acute Care in Texas (2024, 974 clinicians with data). Median for this group: 142. Middle half: 44 to 542.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 176 in 2023 to 1,038 in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023–2024.
Practice Location & Contact Primary Location
10710 Mcpherson Rd Ste 300
Laredo, TX 780456411
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 - Acute Care: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $12,082 in 2023
The total amount Medicare approved for these services in 2023. 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, 2023.
Paid by Medicare
About $9,548 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, 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, 2023.
30-day fills
1,758 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
$147,142 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: $160.07 across 2 records.
By nature of payment
- Food and Beverage: $160.07 across 2 records.
Reporting-company totals
- Medtronic, Inc.: $143.11 across 1 record.
- Novo Nordisk Inc: $16.96 across 1 record.
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).
NPI first issued
2023
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, “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.
Compared with the same specialty in Laredo and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Nurse Practitioner - Acute Care in Texas (2024, 974 clinicians with data). Median for this group: 142. Middle half: 44 to 542.
Too few clinicians listed under Nurse Practitioner - Acute Care in Laredo have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Nurse Practitioner - Acute Care in Texas (2024, 974 clinicians with data). Median for this group: $8,232. Middle half: $459 to $60,333.
Too few clinicians listed under Nurse Practitioner - Acute Care in Laredo have Medicare Part D data for 2024 to compare.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Leonel Gutierrez are from 2023.
5 active clinicians are listed under Nurse Practitioner - Acute Care with a practice address in Laredo, TX (3,245 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 B services
CMS data for Medicare Part B services are available for 2023 only.
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Medicare-allowed amount
CMS data for Medicare-allowed amount are available for 2023 only.
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Paid by Medicare
CMS data for Medicare payment amount are available for 2023 only.
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 490% from 176 in 2023 to 1,038 in 2024.
- 2023: 176
- 2024: 1,038
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30-day fills
30-day fills increased 566% from 264 in 2023 to 1,758 in 2024.
- 2023: 264
- 2024: 1,758
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Part D drug cost
Part D drug cost increased 727% from $17,792 in 2023 to $147,142 in 2024.
- 2023: $17,792
- 2024: $147,142
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $146.84 in 2023 to $160.07 in 2025.
- 2023: $146.84
- 2024: $58.71
- 2025: $160.07
Sources: CMS Medicare Physician & Other Practitioners (2023), 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): fewer than 11 records totaling $160.07.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
MICRA | General | $143.11 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $16.96 |
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 2022 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, 2023; 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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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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102 | 39 | $155.00 | $64.61 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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36 | 36 | $255.00 | $106.15 |
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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
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20 | 19 | $177.00 | $73.53 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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17 | 17 | $52.00 | $11.73 |
Source: CMS Part B by Provider and Service, 2023; 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 |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 170 | 9,760 | $845.77 | 84 |
| Metoprolol Succinate | Metoprolol Succinate | 118 | 5,120 | $602.30 | 51 |
| Entresto | Sacubitril/Valsartan | 86 | 2,991 | $65,201.01 | 37 |
| Carvedilol | Carvedilol | 74 | 3,345 | $366.93 | 32 |
| Clopidogrel | Clopidogrel Bisulfate | 50 | 3,210 | $284.38 | 26 |
| Losartan Potassium | Losartan Potassium | 48 | 2,940 | $328.53 | 25 |
| Jardiance | Empagliflozin | 42 | 1,620 | $31,251.15 | 22 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 34 | 1,680 | $149.31 | 17 |
| Furosemide | Furosemide | 33 | 1,918 | $93.74 | 19 |
| Eliquis | Apixaban | 28 | 1,020 | $17,255.59 | 11 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 27 | 1,290 | $328.86 | — |
| Amlodipine Besylate | Amlodipine Besylate | 26 | 1,410 | $101.62 | 16 |
| Fenofibrate | Fenofibrate | 26 | 1,320 | $305.49 | 14 |
| Metformin Hcl | Metformin Hcl | 26 | 1,500 | $149.08 | — |
| Nifedipine Er | Nifedipine | 23 | 870 | $254.60 | 12 |
| Amiodarone Hcl | Amiodarone Hcl | 23 | 1,230 | $392.56 | 13 |
| Azithromycin | Azithromycin | 22 | 93 | $90.81 | 22 |
| Xarelto | Rivaroxaban | 22 | 1,470 | $27,796.97 | 15 |
| Hydrochlorothiazide | Hydrochlorothiazide | 21 | 1,350 | $28.36 | 12 |
| Pantoprazole Sodium | Pantoprazole Sodium | 20 | 1,340 | $99.84 | 14 |
| Warfarin Sodium | Warfarin Sodium | 17 | 1,320 | $26.72 | — |
| Ezetimibe | Ezetimibe | 15 | 990 | $237.74 | — |
| Cilostazol | Cilostazol | 14 | 660 | $248.48 | — |
| Labetalol Hcl | Labetalol Hcl | 14 | 1,020 | $198.89 | — |
| Irbesartan | Irbesartan | 13 | 390 | $131.84 | — |
(top 25 shown)
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: 2023-02-24NUCC Taxonomy Code: 363LA2100X
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated February 24, 2023.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from March 2023 to August 2026.
NPI Administrative Meta
Other Nurse Practitioner - Acute Care Specialists in Laredo
Healthcare providers in LaredoMailing Address
519 Cuesta Dr
Laredo, TX 780456884
Phone: 9567713767