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Active NPI 1831295955 Individual Practitioner Male Practitioner

Dr. Mario Gutierrez , OD

Optometrist • San Antonio, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mario Gutierrez, OD is a certified Optometrist practicing in San Antonio, TX. With approximately 42 years of clinical experience since graduating from University Of Houston - College Of Optometry in 1984, Dr. Gutierrez delivers high-quality medical care to the local community at 5212 BROADWAY ST.

Dr. Gutierrez is affiliated with South Texas Vision Associates, P.A. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5212 Broadway St

San Antonio, TX 782095712

Telephone 2108298083
Fax 2108224011
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Houston - College Of Optometry

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in San Antonio, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
42 Yrs +25.1 yrs vs City Avg
City Avg: 16.9 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
390 Specialists

Practicing in San Antonio, TX (5156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gutierrez (42 Years) 42 Yrs
San Antonio Specialty Average (16.9 Years) 16.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
419 408 $125.00 $119.36
92012 Established patient problem focused exam of visual system
110 87 $93.20 $84.31
99213 Established patient office or other outpatient visit, typically 15 minutes
75 36 $90.00 $86.57
92134 Imaging of retina
60 53 $75.00 $38.08
92133 Imaging of optic nerve
49 42 $75.00 $33.12
92250 Photography of the retina
32 32 $72.00 $34.98
66984 Removal of cataract with insertion of lens
27 14 $150.00 $101.84
92004 New patient complete exam of visual system
27 27 $150.00 $141.39
92083 Exam of visual field with extended testing
21 19 $82.00 $59.39
92081 Exam of visual field with limited testing
11 11 $50.00 $31.49

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 3345TG

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
135221306 (TX)

Hospital & Practice Group Affiliations

South Texas Vision Associates, P.a.

5212 Broadway St, San Antonio, TX 782095712

Phone: 2108298083

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1154915353

Doctor of Optometry

NPI 1396972436

Doctor of Optometry

NPI 1699269845

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5212 BROADWAY ST, SAN ANTONIO, TX 782095712 (Tel: 2108298083)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5212 BROADWAY ST, SAN ANTONIO, TX 782095712 (Tel: 2108298083)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARIO GUTIERREZ, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #3345TG in TX)

🟢
Initial NPI Registration & Enumeration September 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831295955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

5212 Broadway St

San Antonio, TX 782095712

Phone: 2108298083

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.