MARIO GARCIA GONZALEZ PA
NPI 1063933968
Physician Assistant in Fort Worth, TX

Active since June 29, 2017PECOS EnrolledAccepts Medicare Assignment
91.96/100
CMS Quality Rating
601 W TERRELL AVE, FORT WORTH, TX 76104(817) 702-8300 Get Directions Write a Review

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2019, Sep 17, 2018, Sep 10, 2018 and 1 more (4 updates tracked since 2017).

About Mario Garcia Gonzalez Pa NPPES

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

MARIO GARCIA GONZALEZ PA (NPI 1063933968) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA11319) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1063933968
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARIO GARCIA GONZALEZCredential: PA
Location Address601 W TERRELL AVEFort Worth, TX 76104-3243
Mailing AddressPo Box 732973Dallas, TX 75373-2973 · (817) 702-8450
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 29, 2017
Last NPPES UpdateFebruary 25, 20194 updates tracked since enumeration
NPI 1063933968 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 TX · PA11319
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.
601 W TERRELL AVE, Fort Worth, TX 76104

Secondary Practice Location 1

Location 17400 McCart AveFort Worth, TX 76133-7270 · Phone (817) 294-1651 · Fax (817) 294-1048

Accepted Insurance

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

Mario Garcia Gonzalez Pa 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 ID3072877729
PECOS Enrollment IDI20180503001579
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services47 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jps Health Network

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

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.

91.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.78
Promoting Interoperability100
Improvement Activities40
Cost56.81

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.

Internal Medicine (Hematology & Oncology)
601 W TERRELL AVE
FORT WORTH, TX 76104
Family Medicine
601 W TERRELL AVE
FORT WORTH, TX 76104
Nurse Practitioner (Psychiatric/Mental Health)
601 W TERRELL AVE
FORT WORTH, TX 76104
Nurse Practitioner (Family)
601 W TERRELL AVE
FORT WORTH, TX 76104
Nurse Practitioner (Psychiatric/Mental Health)
601 W TERRELL AVE
FORT WORTH, TX 76104
Nurse Practitioner (Psychiatric/Mental Health)
601 W TERRELL AVE
FORT WORTH, TX 76104
Psychologist (Clinical)
601 W TERRELL AVE
FORT WORTH, TX 76104
Physician Assistant
601 W TERRELL AVE
FORT WORTH, TX 76104

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 Mario Gonzalez's NPI number?

The NPI number for Mario Gonzalez is 1063933968. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Mario Gonzalez located?

Mario Gonzalez practices at 601 W Terrell Ave, Fort Worth, TX 76104. The listed phone number is (817) 702-8300.

What is Mario Gonzalez's specialty?

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

Is Mario Gonzalez enrolled in Medicare?

Yes. Mario Gonzalez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mario Gonzalez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Mario Gonzalez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mario Gonzalez affiliated with any hospitals?

According to CMS data, Mario Gonzalez is affiliated with Jps Health Network.

When was this NPI record last updated?

The NPPES record for Mario Gonzalez was last updated on February 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.