MRS. CLAUDIA LUCIA GOMEZ FNP-BC
NPI 1073291233
Family Medicine in Cary, NC

Active since July 07, 2023PECOS EnrolledAccepts Medicare Assignment
540 NEW WAVERLY PL STE 200, CARY, NC 27518(919) 954-4159(919) 954-4445 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Claudia Lucia Gomez Fnp-bc NPPES

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

MRS. CLAUDIA LUCIA GOMEZ FNP-BC (NPI 1073291233) is an individual family medicine provider in Cary, North Carolina, licensed in North Carolina (5018410) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1073291233
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. CLAUDIA LUCIA GOMEZCredential: FNP-BC
Location Address540 NEW WAVERLY PL STE 200Cary, NC 27518-7422
Mailing Address109 Mcintosh CtCary, NC 27511-5164 · (984) 222-4749
Fax(919) 954-4445
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 7, 2023
NPPES CertifiedJuly 7, 2023
✔ NPI 1073291233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 5018410
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.
540 NEW WAVERLY PL STE 200, Cary, NC 27518

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Claudia Lucia Gomez Fnp-bc 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 ID7416301890
PECOS Enrollment IDI20231004000981
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 Claudia Gomez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
540 NEW WAVERLY PL
Cary, NC 27518
  • Reassigned Medicare billing, North Carolina enrollment
  • 636 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 7

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.
113 services93 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
63 services49 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.
38 services32 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.
24 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27518 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Gerontology)
540 NEW WAVERLY PL STE 200
CARY, NC 27518
Family Medicine
540 NEW WAVERLY PL STE 200
CARY, NC 27518
Family Medicine
540 NEW WAVERLY PL STE 200
CARY, NC 27518
Physician Assistant (Medical)
540 NEW WAVERLY PL STE 200
CARY, NC 27518
Family Medicine
540 NEW WAVERLY PL STE 200
CARY, NC 27518

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 Claudia Gomez's NPI number?

The NPI number for Claudia Gomez is 1073291233. It was assigned to this individual provider in the NPPES registry on July 7, 2023.

Where is Claudia Gomez located?

Claudia Gomez practices at 540 New Waverly Pl Ste 200, Cary, NC 27518. The listed phone number is (919) 954-4159.

What is Claudia Gomez's specialty?

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

Is Claudia Gomez enrolled in Medicare?

Yes. Claudia Gomez 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.

Which organization bills Medicare for Claudia Gomez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudia Gomez reassigns Medicare benefits to Duke University Affiliated Physicians (Cary, NC). 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 Claudia Gomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claudia Gomez accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Claudia Gomez 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 Claudia Gomez affiliated with any hospitals?

According to CMS data, Claudia Gomez is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Claudia Gomez was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.