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GONZALO A ORIA MD
NPI 1083666325
Obstetrics & Gynecology - Gynecology in Port St Lucie, FL

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
1696 SE HILLMOOR DR, SUITE A, PORT ST LUCIE, FL 34952(772) 337-4600(772) 337-7600 Get Directions Write a Review

NPPES record last updated: February 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gonzalo A Oria Md NPPES

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

GONZALO A ORIA MD (NPI 1083666325) is an individual gynecology provider in Port St Lucie, Florida, licensed in Florida (ME0045423) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1083666325
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameGONZALO A ORIACredential: MD
Location Address1696 SE HILLMOOR DR, SUITE APort St Lucie, FL 34952-7699
Mailing Address1696 Se Hillmoor Dr Ste BPort St Lucie, FL 34952-7699 · (772) 337-4600 · Fax (772) 337-7600
Phone(772) 337-4600
Fax(772) 337-7600
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateMay 16, 2006
Last NPPES UpdateFebruary 22, 2020
✔ NPI 1083666325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in FL · ME0045423
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1696 SE HILLMOOR DR, Port St Lucie, FL 34952
Open in Google Maps ↗

Other Identifiers 3

Other96767ZFL · Medicare Provider
Other96767FL · Bcbsfl
Medicaid036233600FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Gonzalo A Oria 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 ID7012918527
PECOS Enrollment IDI20070126000159
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 5

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.
36 services29 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
13 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
13 services13 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34952 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

Breast Cancer Screening
90%317 patients4/55-star benchmark: 93%
Cervical Cancer Screening
93%723 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
14%212 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
33%468 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
77%22 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
67%43 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,339 patients4/55-star benchmark: 100%
e-Prescribing
100%213 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%903 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
42%1,274 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 86% · 762 patients
Patients screened: 91% · 762 patients
10%42 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
68%296 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 7

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

WOMEN'S HEALTHCARE OF PORT ST LUCIE LLC
Obstetrics & Gynecology (Obstetrics)
1696 SE HILLMOOR DR, SUITE A
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-4600
MRS. GLORY IVELISSE GUERRERO ARNP
Nurse Practitioner (Adult Health)
1696 SE HILLMOOR DR
PORT ST LUCIE, FL 34952
St. Lucie County (772) 692-2024
GENTLE CHIROPRACTIC OFFICES, INC.
Chiropractor
1696 SE HILLMOOR DR, SUITE C
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 335-3222
AARON M SHEVLIN DPM PA
Durable Medical Equipment & Medical Supplies
1696 SE HILLMOOR DR, STE B
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 335-1200
DR. AARON M SHEVLIN DPM
Podiatrist
1696 SE HILLMOOR DR, STE B
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-1200
RONALD E MCCORD OD PA
Optometrist
1696 SE HILLMOOR DR, STE B
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-2209
DR. HARRIS IRA GOLDBERG D.C.
Chiropractor
1696 SE HILLMOOR DR, STE C
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 335-3222

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 Gonzalo Oria's NPI number?

The NPI number for Gonzalo Oria is 1083666325. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Gonzalo Oria located?

Gonzalo Oria practices at 1696 SE Hillmoor Dr Suite A, Port St Lucie, FL 34952. The listed phone number is (772) 337-4600.

What is Gonzalo Oria's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Gonzalo Oria enrolled in Medicare?

Yes. Gonzalo Oria 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 Gonzalo Oria accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and UnitedHealthcare list Gonzalo Oria 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 Gonzalo Oria affiliated with any hospitals?

According to CMS data, Gonzalo Oria is affiliated with Cleveland Clinic Martin North Hospital.

When was this NPI record last updated?

The NPPES record for Gonzalo Oria was last updated on February 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.