Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LEARNED R GONZALES MD
NPI 1083607428
Internal Medicine - Pulmonary Disease in Iowa City, IA

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment
200 HAWKINS DR, IOWA CITY, IA 52242(319) 339-3551(319) 887-2847 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2026, Mar 18, 2026, Jan 26, 2026 and 4 more (7 updates tracked since 2015).

About Learned R Gonzales Md NPPES

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

LEARNED R GONZALES MD (NPI 1083607428) is an individual pulmonary disease provider in Iowa City, Iowa, licensed in Iowa (MD-57347) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Hilo Medical Center, and maintains a secondary practice location in Iowa City.

NPPES Registry Identity

NPI1083607428
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameLEARNED R GONZALESCredential: MD
Location Address200 HAWKINS DRIowa City, IA 52242-1009
Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 339-3551 · Fax (319) 887-2879
Fax(319) 887-2847
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 30, 2005
Last NPPES UpdateOctober 12, 20267 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1083607428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in IA · MD-57347✔ Licensed in HI · MD-22119
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedSpecialistTaxonomy 174400000X · License A76930 (CA)
Also ListedInternal MedicineTaxonomy 207R00000X · License MD-57347 (IA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A76930 (CA), MD-57347 (IA), MD-22119 (HI), 33893 (AZ)
200 HAWKINS DR, Iowa City, IA 52242

Secondary Practice Location 1

Location 1500 E Market StIowa City, IA 52245-2633 · Phone (319) 339-3551 · Fax (319) 887-2847

Other Identifiers 1

Other1083607428CA · Npi

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

Learned R Gonzales Md 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 ID3779529243
PECOS Enrollment IDI20061023000282, I20260216000901
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 Reassignments

7

Medicare enrollment records show Learned Gonzales reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
39000 BOB HOPE DR
Rancho Mirage, CA 92270
  • Reassigned Medicare billing, California enrollment
  • 122 clinicians in this Medicare group
Critical Care Medicine
1150 N INDIAN CANYON DR
Palm Springs, CA 92262
  • Reassigned Medicare billing, California enrollment
  • 126 clinicians in this Medicare group
Internal Medicine
2101 N WATERMAN AVE
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • 1,216 clinicians in this Medicare group
Critical Care Medicine
2185 CITRACADO PKWY
Escondido, CA 92029
  • Reassigned Medicare billing, California enrollment
  • 25 clinicians in this Medicare group
1,602 mi
Critical Care Medicine
1100 BUTTE ST
Redding, CA 96001
  • Reassigned Medicare billing, California enrollment
  • 46 clinicians in this Medicare group
General Acute Care Hospital
1190 WAIANUENUE AVE
Hilo, HI 96720
  • Reassigned Medicare billing, Hawaii enrollment
  • 263 clinicians in this Medicare group
4,018 mi
Critical Access
1 KAMANI STREET
Pahala, HI 96777
  • Reassigned Medicare billing, Hawaii enrollment
  • 208 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 6

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
317 services109 patients
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.
81 services81 patients
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.
46 services40 patients
Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth G0509
A telehealth consultation for critical care is a virtual meeting with a doctor for ongoing critical health issues. It involves a 50-minute session where the physician connects with the patient and other healthcare providers to discuss and manage the patient's condition. This method ensures safe, convenient care.
40 services29 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
32 services20 patients
Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth G0508
A telehealth consultation for critical care is a virtual meeting with a physician, typically lasting 60 minutes. Here, the doctor assesses your health condition, provides guidance, and communicates with other care providers, all through digital platforms. It's a safe, convenient way to receive critical care.
31 services30 patients

Hospital Affiliations CMS Care Compare

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

Hilo Medical Center

Acute Care Hospitals · Hilo, HI
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120005
Location1190 Waianuenue AvenueHilo, HI 96720 · Hawaii County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
83%70 patients4/55-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 20

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

Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242

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 Learned Gonzales's NPI number?

The NPI number for Learned Gonzales is 1083607428. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Learned Gonzales located?

Learned Gonzales practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 339-3551.

What is Learned Gonzales's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Learned Gonzales enrolled in Medicare?

Yes. Learned Gonzales 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 organizations bill Medicare for Learned Gonzales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Learned Gonzales reassigns Medicare benefits to 7 organizations: Emergency Associates Corporation (Rancho Mirage, CA), Cep America - Intensivists PC (Palm Springs, CA), Inpatient Specialists Of California, PC (San Bernardino, CA), Palomar Intensivist Medical Group, Inc (Escondido, CA), Ccmma Ca PC (Redding, CA) and 2 more organizations, listed in the Medicare section above. Each 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 Learned Gonzales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Learned Gonzales accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource, HMSA and Molina Healthcare list Learned Gonzales 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 Learned Gonzales affiliated with any hospitals?

According to CMS data, Learned Gonzales is affiliated with Hilo Medical Center.

When was this NPI record last updated?

The NPPES record for Learned Gonzales was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.