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DR. MARK S GONZALEZ MD
NPI 1164418711
Internal Medicine - Cardiovascular Disease in Mcallen, TX

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
100 E RIDGE RD, SUITE #A, MCALLEN, TX 78503(956) 682-1888(956) 661-2204 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 19, 2017, Nov 20, 2015 (2 updates tracked since 2015).

About Dr. Mark S Gonzalez Md NPPES

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

DR. MARK S GONZALEZ MD (NPI 1164418711) is an individual cardiovascular disease provider in Mcallen, Texas, licensed in Texas (H0391) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of University Of Texas Medical School At Houston (1985).

NPPES Registry Identity

NPI1164418711
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MARK S GONZALEZCredential: MD
Location Address100 E RIDGE RD, SUITE #AMcallen, TX 78503-1345
Mailing AddressPo Box 4449Mcallen, TX 78502-4449 · (956) 362-2171 · Fax (956) 661-2204
Phone(956) 682-1888
Fax(956) 661-2204
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1985
Enumeration DateSeptember 20, 2005
Last NPPES UpdateJanuary 19, 20172 updates tracked since enumeration
✔ NPI 1164418711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TX · H0391
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
100 E RIDGE RD, Mcallen, TX 78503
Open in Google Maps ↗

Other Identifiers 3

Medicaid143824402TX
Medicare PIN361672YUQGTX
Medicaid143824403TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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. Mark S Gonzalez 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 ID8224084116
PECOS Enrollment IDI20201014002337
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 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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
643 services402 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
69 services67 patients
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.
44 services35 patients
Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227
An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.
34 services34 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
13 services13 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

St Charles Parish Hospital

Acute Care Hospitals · Luling, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190079
Location1057 Paul Maillard RoadLuling, LA 70070 · St. Charles County
Emergency services

Leonard J Chabert Medical Center

Acute Care Hospitals · Houma, LA
OwnershipVoluntary non-profit - Other
CMS Certification Number190183
Location1978 Industrial BlvdHouma, LA 70363 · Terrebonne County
Emergency services

Ochsner Medical Center-Kenner

Acute Care Hospitals · Kenner, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190274
Location180 West Esplanade AvenueKenner, LA 70065 · Jefferson County
Emergency services Birthing friendly

Ochsner St Anne General Hospital

Critical Access Hospitals · Raceland, LA
OwnershipVoluntary non-profit - Other
CMS Certification Number191324
Location4608 Highway 1Raceland, LA 70394 · Lafourche County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%2,445 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%1,101 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
96%1,030 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%669 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
35%641 patients2/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%1,498 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
90%1,511 patients4/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
54%641 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 4

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

LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
100 E RIDGE RD, SUITE A
MCALLEN, TX 78503
Hidalgo County (956) 968-0222
RGV HEART SPECIALISTS LLP
Internal Medicine (Cardiovascular Disease)
100 E RIDGE RD
MCALLEN, TX 78503
Hidalgo County (956) 682-1888
RAMIRO J DE HOYOS
Radiologic Technologist
100 E RIDGE RD, SUITE A
MCALLEN, TX 78503
Hidalgo County (956) 682-1888
EDWARD RODRIGUEZ
Radiologic Technologist
100 E RIDGE RD, SUITE A
MCALLEN, TX 78503
Hidalgo County (956) 682-1888

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 Mark Gonzalez's NPI number?

The NPI number for Mark Gonzalez is 1164418711. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Mark Gonzalez located?

Mark Gonzalez practices at 100 E Ridge Rd Suite #a, Mcallen, TX 78503. The listed phone number is (956) 682-1888.

What is Mark Gonzalez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mark Gonzalez enrolled in Medicare?

Yes. Mark 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 Mark Gonzalez accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Mark 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 Mark Gonzalez affiliated with any hospitals?

According to CMS data, Mark Gonzalez is affiliated with Ochsner Medical Center Acute, St Charles Parish Hospital, Leonard J Chabert Medical Center, Ochsner Medical Center-Kenner and Ochsner St Anne General Hospital.

When was this NPI record last updated?

The NPPES record for Mark Gonzalez was last updated on January 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.