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THEOTONIUS JUYEN GOMES DO
NPI 1205276664
Internal Medicine in Kalamazoo, MI

Active since July 01, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1000 OAKLAND DR, KALAMAZOO, MI 49008(269) 337-6345 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 1, 2022, Jun 27, 2017 (2 updates tracked since 2017).

About Theotonius Juyen Gomes Do NPPES

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

THEOTONIUS JUYEN GOMES DO (NPI 1205276664) is an individual internal medicine provider in Kalamazoo, Michigan, licensed in Michigan (5101020779) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1205276664
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHEOTONIUS JUYEN GOMESCredential: DO
Location Address1000 OAKLAND DRKalamazoo, MI 49008-1282
Mailing Address1000 Oakland DrKalamazoo, MI 49008-1282
Phone(269) 337-6345
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2013
Enumeration DateJuly 1, 2013
Last NPPES UpdateNovember 1, 20222 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
✔ NPI 1205276664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 5101020779
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 5101020779 (MI)
1000 OAKLAND DR, Kalamazoo, MI 49008
Open in Google Maps ↗

Secondary Practice Location 1

Location 1601 John St # 74Kalamazoo, MI 49007-5341 · Phone (269) 341-8481

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health 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

Theotonius Juyen Gomes Do 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 ID5294965471
PECOS Enrollment IDI20170609001190
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

3

Medicare enrollment records show Theotonius Gomes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Western Michigan University School Of Medicine
Same address
Multi-Specialty
1000 OAKLAND DR
Kalamazoo, MI 49008
  • Reassigned Medicare billing, Michigan enrollment
  • 151 clinicians in this Medicare group
NPI 1316212343 (269) 337-6019
Bronson Methodist Hospital
1.0 mi
Hospitalist
601 JOHN STREET
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 1,133 clinicians in this Medicare group
NPI 1417961137 (269) 341-7654
Bronson Lakeview Hospital
17 mi
Internal Medicine
451 HEALTH PKWY
Paw Paw, MI 49079
  • Reassigned Medicare billing, Michigan enrollment
  • 251 clinicians in this Medicare group
NPI 1235131137 (269) 657-2550

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 4

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services26 patients
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.
20 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230117
Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49008 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.99
Promoting Interoperability100
Improvement Activities40
Cost86.02

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.

ANDREW MATTINGLY MD
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
SAJA ABDELHADI
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
SARAH ANNE ECENBARGER WARREN MD
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
DR. MICHELLE TERESA WICIAK MD
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
MARTIN B DRAZNIN M.D.
Pediatrics (Pediatric Endocrinology)
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-6430
ABIGAIL MUNRO BOND DO
Emergency Medicine
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-6600
ALEX JOHN VANWOERKOM DO
Emergency Medicine
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
DR. KELLY ANN MING MD
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4400

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 Theotonius Gomes's NPI number?

The NPI number for Theotonius Gomes is 1205276664. It was assigned to this individual provider in the NPPES registry on July 1, 2013.

Where is Theotonius Gomes located?

Theotonius Gomes practices at 1000 Oakland Dr, Kalamazoo, MI 49008. The listed phone number is (269) 337-6345.

What is Theotonius Gomes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Theotonius Gomes enrolled in Medicare?

Yes. Theotonius Gomes 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 Theotonius Gomes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theotonius Gomes reassigns Medicare benefits to 3 organizations: Western Michigan University School Of Medicine (Kalamazoo, MI), Bronson Methodist Hospital (Kalamazoo, MI) and Bronson Lakeview Hospital (Paw Paw, MI). 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 Theotonius Gomes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theotonius Gomes accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Theotonius Gomes 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 Theotonius Gomes affiliated with any hospitals?

According to CMS data, Theotonius Gomes is affiliated with Bronson Methodist Hospital and Borgess Medical Center.

When was this NPI record last updated?

The NPPES record for Theotonius Gomes was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.