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POTENCIANO D GONZALES MD
NPI 1043482813
Family Medicine in Debary, FL

Active since April 01, 2008PECOS Enrolled
62 SPRING VISTA DR STE 100, DEBARY, FL 32713(386) 668-8559(386) 668-8560 Get Directions Write a Review

NPPES record last updated: September 30, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Potenciano D Gonzales Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POTENCIANO D GONZALES MD (NPI 1043482813) is an individual family medicine provider in Debary, Florida, licensed in Florida (ME70587) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043482813
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePOTENCIANO D GONZALESCredential: MD
Location Address62 SPRING VISTA DR STE 100Debary, FL 32713-1812
Mailing Address62 Spring Vista Dr Ste 101Debary, FL 32713-1812 · (386) 668-8559 · Fax (386) 668-8560
Phone(386) 668-8559
Fax(386) 668-8560
Sole ProprietorYes
Enumeration DateApril 1, 2008
Last NPPES UpdateSeptember 30, 2010
✔ NPI 1043482813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME70587
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
62 SPRING VISTA DR STE 100, Debary, FL 32713
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Other Identifiers 3

Medicare PIN080183159FL
Medicaid251651900FL
Medicare PIN32857AFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Potenciano D Gonzales Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Potenciano Gonzales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Inpatient Consultants Of Florida Inc
92 mi
Hospitalist
3550 BUSCHWOOD PARK DR, SUITE 350
Tampa, FL 33618
  • Reassigned Medicare billing, Florida enrollment
  • 903 clinicians in this Medicare group
NPI 1457511164 (813) 936-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
54%2,137 patients2/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
13%267 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
50%470 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

POTENCIANO GONZALES MD PA
Family Medicine
62 SPRING VISTA DR STE 100
DEBARY, FL 32713
Volusia County (386) 668-8559

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Potenciano Gonzales's NPI number?

The NPI number for Potenciano Gonzales is 1043482813. It was assigned to this individual provider in the NPPES registry on April 1, 2008.

Where is Potenciano Gonzales located?

Potenciano Gonzales practices at 62 Spring Vista Dr Ste 100, Debary, FL 32713. The listed phone number is (386) 668-8559.

What is Potenciano Gonzales's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Potenciano Gonzales enrolled in Medicare?

Yes. Potenciano Gonzales is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Potenciano Gonzales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Potenciano Gonzales reassigns Medicare benefits to Inpatient Consultants Of Florida Inc (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Potenciano Gonzales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Potenciano Gonzales was last updated on September 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.