MARCO A. GONZALEZ M.D.
NPI 1174636229
Family Medicine in Chula Vista, CA

Active since August 15, 2006PECOS Enrolled
73.62/100
CMS Quality Rating
1400 E PALOMAR ST, CHULA VISTA, CA 91913(858) 499-2600(619) 397-3386 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marco A. Gonzalez M.d. NPPES

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

MARCO A. GONZALEZ M.D. (NPI 1174636229) is an individual family medicine provider in Chula Vista, California, licensed in California (A76308) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174636229
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARCO A. GONZALEZCredential: M.D.
Location Address1400 E PALOMAR STChula Vista, CA 91913-1800
Mailing Address1400 E Palomar StChula Vista, CA 91913-1800 · (858) 499-2600 · Fax (619) 397-3386
Fax(619) 397-3386
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateDecember 3, 2013
✔ NPI 1174636229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A76308
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License A76308 (CA)
1400 E PALOMAR ST, Chula Vista, CA 91913

Other Identifiers 3

Medicare UPINH54909CA
Medicare ID-Type UnspecifiedWA76308ACA
Medicaid00A763080CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marco A. Gonzalez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Marco Gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group
Internal Medicine
5651 COPLEY DR STE A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 1,233 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 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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
260 services248 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.
49 services49 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
22 services22 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services15 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91913 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
1400 E PALOMAR ST
CHULA VISTA, CA 91913
Family Medicine
1400 E PALOMAR ST
CHULA VISTA, CA 91913
Pharmacist
1400 E PALOMAR ST
CHULA VISTA, CA 91913
Dermatology
1400 E PALOMAR ST
CHULA VISTA, CA 91913
Pediatrics
1400 E PALOMAR ST
CHULA VISTA, CA 91913
Surgery
1400 E PALOMAR ST
CHULA VISTA, CA 91913
Internal Medicine
1400 E PALOMAR ST
CHULA VISTA, CA 91913
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
1400 E PALOMAR ST
CHULA VISTA, CA 91913

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 Marco Gonzalez's NPI number?

The NPI number for Marco Gonzalez is 1174636229. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Marco Gonzalez located?

Marco Gonzalez practices at 1400 E Palomar St, Chula Vista, CA 91913. The listed phone number is (858) 499-2600.

What is Marco Gonzalez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marco Gonzalez enrolled in Medicare?

Yes. Marco Gonzalez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marco Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marco Gonzalez reassigns Medicare benefits to 2 organizations: Emergency And Acute Care Medical Corporation (San Diego, CA) and Sharp Rees-Stealy Medical Group, Inc (San Diego, CA). 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 Marco Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marco Gonzalez was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.