MR. DAVID EMMANUEL GUTHRIE GONZALEZ PA-C
NPI 1053909770
Physician Assistant in Tampa, FL

Q: What is David Guthrie Gonzalez's NPI number?

The NPI number for David Guthrie Gonzalez is 1053909770. It was assigned to this individual provider in the NPPES registry on January 7, 2021.

Q: What is David Guthrie Gonzalez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since January 07, 2021PECOS EnrolledAccepts Medicare Assignment

12902 USF MAGNOLIA DR, TAMPA, FL 33612(888) 663-3488 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2023, Jan 7, 2021 (2 updates tracked since 2021).

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About Mr. David Emmanuel Guthrie Gonzalez Pa-c NPPES

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

MR. DAVID EMMANUEL GUTHRIE GONZALEZ PA-C (NPI 1053909770) is an individual physician assistant in Tampa, Florida, licensed in Florida (PA9116864) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pleasanton, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053909770

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. DAVID EMMANUEL GUTHRIE GONZALEZCredential: PA-C

Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416

Mailing AddressPo Boox 198441Atlanta, GA 30384-8441 · (813) 745-7365 · Fax (813) 449-8618

Phone(888) 663-3488

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 7, 2021

Last NPPES UpdateJuly 25, 20252 updates tracked since enumeration

NPPES CertifiedJuly 25, 2025

✔ NPI 1053909770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9116864

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

12902 USF MAGNOLIA DR, Tampa, FL 33612

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Secondary Practice Location 1

Location 15725 W Las Positas Blvd Ste 100Pleasanton, CA 94588-4007 · Phone (813) 598-6382

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. David Emmanuel Guthrie Gonzalez Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345654901

PECOS Enrollment IDI20230215002503

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

92 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 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

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

3 suppliers14 claims14 services$11.79 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

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