ALAN GONZALEZ PA-C
NPI 1154916674
Physician Assistant in Phoenix, AZ

Active since March 05, 2021PECOS EnrolledAccepts Medicare Assignment
78.58/100
CMS Quality Rating
5777 E MAYO BLVD, PHOENIX, AZ 85054(480) 342-2000 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 13, 2021, Sep 9, 2021, Mar 5, 2021 (3 updates tracked since 2021).

About Alan Gonzalez Pa-c NPPES

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

ALAN GONZALEZ PA-C (NPI 1154916674) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (8633) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1154916674
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameALAN GONZALEZCredential: PA-C
Location Address5777 E MAYO BLVDPhoenix, AZ 85054-4502
Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5452 · (480) 301-8000
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 5, 2021
Last NPPES UpdateSeptember 13, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2021
NPI 1154916674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AZ · 8633
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.

5777 E MAYO BLVD, Phoenix, AZ 85054

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

Alan Gonzalez Pa-c 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 ID3476950536
PECOS Enrollment IDI20210916002229
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.
47 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85054 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

78.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.05
Promoting Interoperability100
Improvement Activities40
Cost59.56

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.

Pharmacist (Pharmacotherapy)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Emergency Medicine
5777 E MAYO BLVD
PHOENIX, AZ 85054
Occupational Therapist
5777 E MAYO BLVD
PHOENIX, AZ 85054
Radiology (Vascular & Interventional Radiology)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Physician Assistant (Medical)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Physical Therapist
5777 E MAYO BLVD
PHOENIX, AZ 85054
Physical Therapist
5777 E MAYO BLVD
PHOENIX, AZ 85054
Occupational Therapist
5777 E MAYO BLVD
PHOENIX, AZ 85054

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154916674, enumerated as an "individual" on March 05, 2021.

The provider is located at 5777 E MAYO BLVD PHOENIX, AZ 85054 and the phone number is (480) 342-2000.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.