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DR. RALPH GONZALEZ JR. M.D.
NPI 1144424870
Internal Medicine in Paoli, PA

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
255 W LANCASTER AVE, PAOLI, PA 19301(484) 565-1510 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ralph Gonzalez Jr. M.d. NPPES

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

DR. RALPH GONZALEZ JR. M.D. (NPI 1144424870) is an individual internal medicine provider in Paoli, Pennsylvania, licensed in Pennsylvania (MD456358) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Catholic Medical Center- Mercy Fitzgerald, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1144424870
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RALPH GONZALEZ JR.Credential: M.D.
Location Address255 W LANCASTER AVEPaoli, PA 19301-1763
Mailing Address255 W Lancaster AvePaoli, PA 19301-1763 · (484) 565-1510
Phone(484) 565-1510
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2007
Enumeration DateJune 14, 2007
Last NPPES UpdateSeptember 8, 2022
NPPES CertifiedApril 12, 2021
✔ NPI 1144424870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · MD456358✔ Licensed in DE · C7-0003777
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License MD456358 (PA)
255 W LANCASTER AVE, Paoli, PA 19301
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Secondary Practice Location 1

Location 1111 Continental Dr, Suite 406Newark, DE 19713-4306 · Phone (302) 368-2630 · Fax (302) 368-1271

Other Identifiers 1

Medicaid1144424870DE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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

Dr. Ralph Gonzalez Jr. M.d. 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 ID4082806153
PECOS Enrollment IDI20220714004185
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
87 services59 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.
68 services54 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
48 services48 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Catholic Medical Center- Mercy Fitzgerald

Acute Care Hospitals · Darby, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390156
Location1500 Lansdowne AveDarby, PA 19023 · Delaware County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19301 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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…
100%53 patients5/55-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.

TALIA LAGRAVINESE CRNP
Nurse Practitioner (Acute Care)
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (484) 565-1510
EMILY JANE DAMICO
Physician Assistant
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (215) 429-1003
MRS. LYNN B WOLFF CRNP
Nurse Practitioner (Acute Care)
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (484) 565-1600
MARY ANITA DILLOWAY MD
Pediatrics
255 W LANCASTER AVE, MOB 1 STE 101
PAOLI, PA 19301
Chester County (610) 644-9380
DR. SCOTT A. OLEX D.O.
Hospitalist
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (484) 565-1510
DR. JANIS ZVARGULIS M.D.
Anesthesiology
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (484) 565-1020
PAOLI PEDIATRICS PC
Pediatrics
255 W LANCASTER AVE, MOB 1 SUITE 101
PAOLI, PA 19301
Chester County (610) 644-9380
ADVOCARE, LLC
Hospitalist
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (610) 308-5755

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 Ralph Gonzalez's NPI number?

The NPI number for Ralph Gonzalez is 1144424870. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Ralph Gonzalez located?

Ralph Gonzalez practices at 255 W Lancaster Ave, Paoli, PA 19301. The listed phone number is (484) 565-1510.

What is Ralph Gonzalez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ralph Gonzalez enrolled in Medicare?

Yes. Ralph 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 Ralph Gonzalez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Highmark Blue Cross Blue Shield Delaware list Ralph 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 Ralph Gonzalez affiliated with any hospitals?

According to CMS data, Ralph Gonzalez is affiliated with Mercy Catholic Medical Center- Mercy Fitzgerald and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Ralph Gonzalez was last updated on September 8, 2022. 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.