DR. HOLLY JO GONZALES M.D.
NPI 1184984155
Radiology - Diagnostic Radiology in Fayetteville, AR

Active since May 23, 2012PECOS EnrolledAccepts Medicare Assignment
55 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703(479) 442-6266(479) 521-3877 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2024, Jul 16, 2018, Jul 26, 2017 (3 updates tracked since 2017).

About Dr. Holly Jo Gonzales M.d. NPPES

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

DR. HOLLY JO GONZALES M.D. (NPI 1184984155) is an individual diagnostic radiology provider in Fayetteville, Arkansas, licensed in Arkansas (E-8751) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2012).

NPPES Registry Identity

NPI1184984155
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. HOLLY JO GONZALESCredential: M.D.
Location Address55 W SUNBRIDGE DRFayetteville, AR 72703-1825
Mailing AddressPo Box 1523Fayetteville, AR 72702-1523 · (479) 571-6038 · Fax (479) 582-0222
Fax(479) 521-3877
Sole ProprietorYes
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2012
Enumeration DateMay 23, 2012
Last NPPES UpdateAugust 12, 20243 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
NPI 1184984155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in AR · E-8751 Licensed in TX · R3115
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
55 W SUNBRIDGE DR, Fayetteville, AR 72703

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

Dr. Holly Jo Gonzales 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 ID3870819436
PECOS Enrollment IDI20180625003320
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 12

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.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
7,830 services51 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.
918 services918 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.
917 services917 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
191 services185 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
174 services163 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
139 services138 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

Other Providers at the Same Location NPPES 12

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

Radiology (Diagnostic Radiology)
55 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Radiology (Diagnostic Radiology)
55 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Radiology (Diagnostic Radiology)
55 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Radiology (Diagnostic Radiology)
55 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Radiology (Diagnostic Radiology)
55 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Radiology (Diagnostic Radiology)
55 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Radiology (Diagnostic Radiology)
55 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Radiology (Diagnostic Radiology)
55 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703

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 Holly Gonzales's NPI number?

The NPI number for Holly Gonzales is 1184984155. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Where is Holly Gonzales located?

Holly Gonzales practices at 55 W Sunbridge Dr, Fayetteville, AR 72703. The listed phone number is (479) 442-6266.

What is Holly Gonzales's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Holly Gonzales enrolled in Medicare?

Yes. Holly Gonzales 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 Holly Gonzales accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Holly Gonzales 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.

When was this NPI record last updated?

The NPPES record for Holly Gonzales was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.