Felix Gutierrez II, M.D.
NPI 1538160387ActiveIndividual· Internal Medicine, Cardiovascular Disease· Wormleysburg, PA
Internal Medicine, Cardiovascular Disease (M.D.) with Pinnacle Health Cardiovascular Institute Inc, practicing in Wormleysburg, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $723,304 for 3,768 claims, against $67,245 paid for services in 2024. Daiichi Sankyo Inc. reported $104.61 in payments in 2024, mostly food and beverage. Lists Upmc Carlisle and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1538160387 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 2, 2005 |
| Last updated in NPPES | Jan 2, 2021 |
| Certified by provider | Jan 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | MD019654E | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Cardiovascular Disease (Cardiology) (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 966 |
|---|---|
| Services billed | 1,643 across 31 procedure codes |
| Paid by Medicare | $67,245 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,768 · 9,597 30-day fills |
|---|---|
| Patients | 630 |
| Total drug cost | $723,304 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 1970 |
|---|---|
| Medicare specialty | Cardiovascular Disease (Cardiology) |
Medical group
- Pinnacle Health Cardiovascular Institute IncMechanicsburg, PA · 117 clinicians
Hospital affiliations
- Upmc CarlisleCarlisle, PA
- Upmc Pinnacle HospitalsHarrisburg, PA
- Wellspan York HospitalYork, PA
Industry payments (Open Payments)
- 2024$104.61 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Daiichi Sankyo Inc. | $104.61 | 1 |
What the 2024 payments were for
- Food and Beverage$104.61 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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