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LUCIA CAROLINA GONZALEZ MD
NPI 1194465468
Family Medicine in Sioux Falls, SD

Active since April 01, 2022PECOS EnrolledAccepts Medicare Assignment
1115 E 20TH ST, SIOUX FALLS, SD 57105(605) 339-1783 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lucia Carolina Gonzalez Md NPPES

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

LUCIA CAROLINA GONZALEZ MD (NPI 1194465468) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (17540) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Milbank Area Hospital/avera Health, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194465468
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLUCIA CAROLINA GONZALEZCredential: MD
Location Address1115 E 20TH STSioux Falls, SD 57105-1013
Mailing Address1115 E 20th StSioux Falls, SD 57105-1013 · (605) 339-1783
Phone(605) 339-1783
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 1, 2022
Last NPPES UpdateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
✔ NPI 1194465468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SD · 17540
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.
1115 E 20TH ST, Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lucia Carolina 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 ID8921480450
PECOS Enrollment IDI20251126004168
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 Lucia Gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera Mckennan
1.2 mi
Family Medicine
1200 S 7TH AVE
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1376575514 (605) 336-2140
Center For Family Medicine
1.4 mi
Family Medicine
1115 E 20TH ST
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 17 clinicians in this Medicare group
NPI 1164493672 (605) 339-1783

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Milbank Area Hospital/Avera Health

Critical Access Hospitals · Milbank, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431326
Location301 Flynn DriveMilbank, SD 57252 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

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.

TYLER LEE FABER
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 357-1306
CLAIRE CROSBY WEBER MD
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 575-1644
DR. RAQUELLE MARIE COLLINS MD
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 575-1644
EARL D KEMP MD
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 339-1783
MAURICE ALLEN DALE CHESSMORE MD
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 575-1644
ANNA MARIE MCKINLEY
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 575-1644
CENTER FOR FAMILY MEDICINE
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 339-1783
DREW MENDIOLA VECHELL MD
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 575-1644

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 Lucia Gonzalez's NPI number?

The NPI number for Lucia Gonzalez is 1194465468. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Lucia Gonzalez located?

Lucia Gonzalez practices at 1115 E 20th St, Sioux Falls, SD 57105. The listed phone number is (605) 339-1783.

What is Lucia Gonzalez's specialty?

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

Is Lucia Gonzalez enrolled in Medicare?

Yes. Lucia 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.

Which organizations bill Medicare for Lucia Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucia Gonzalez reassigns Medicare benefits to 2 organizations: Avera Mckennan (Sioux Falls, SD) and Center For Family Medicine (Sioux Falls, SD). 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 Lucia Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lucia Gonzalez accept?

Health plans from Avera Health Plans, Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Lucia 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 Lucia Gonzalez affiliated with any hospitals?

According to CMS data, Lucia Gonzalez is affiliated with Milbank Area Hospital/Avera Health.

When was this NPI record last updated?

The NPPES record for Lucia Gonzalez was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.