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EARL R GONZALES MD
NPI 1215134390
Surgery in Andover, MA

Active since July 02, 2007PECOS EnrolledAccepts Medicare Assignment
75.6/100
CMS Quality Rating
140 HAVERHILL ST, ANDOVER, MA 01810(978) 475-4202(978) 475-4393 Get Directions Write a Review

NPPES record last updated: July 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Earl R Gonzales Md NPPES

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

EARL R GONZALES MD (NPI 1215134390) is an individual surgery provider in Andover, Massachusetts, licensed in Massachusetts (249980) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1215134390
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameEARL R GONZALESCredential: MD
Location Address140 HAVERHILL STAndover, MA 01810-1550
Mailing Address140 Haverhill StreetAndover, MA 01810-1504 · (978) 475-4202 · Fax (978) 475-4393
Phone(978) 475-4202
Fax(978) 475-4393
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 2, 2007
Last NPPES UpdateJuly 9, 2012
✔ NPI 1215134390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MA · 249980
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
140 HAVERHILL ST, Andover, MA 01810
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.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

Earl R Gonzales 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 ID9032366349
PECOS Enrollment IDI20120821000935
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
86 services58 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.
47 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
43 services43 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 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.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01810 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

75.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.57
Improvement Activities40
Cost75

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.

ANDOVER SURGICAL ASSOCIATES, LLC
Surgery
140 HAVERHILL ST
ANDOVER, MA 01810
Essex County (978) 475-4202
DR. STEPHEN MICHAEL ZAPPALA M.D.
Specialist
140 HAVERHILL ST, DOCTORS PARK I
ANDOVER, MA 01810
Essex County (978) 475-4499
ANDREA B POLONSKY M.D.
Obstetrics & Gynecology
140 HAVERHILL ST, C/O ANDOVER OB/GYN
ANDOVER, MA 01810
Essex County (978) 475-2731
GREGORY JASON CHRISTIE PA-C
Physician Assistant
140 HAVERHILL ST, SUITE 1
ANDOVER, MA 01810
Essex County (978) 470-0707
DR. KATHLEEN FERGUSON DEVANEY M.D.
Pediatrics
140 HAVERHILL ST
ANDOVER, MA 01810
Essex County (978) 475-4522
CHRISTINE LOTTERHAND NP
Nurse Practitioner (Family)
140 HAVERHILL ST
ANDOVER, MA 01810
Essex County (978) 470-1616
MS. GRACE T CLANCY PNP
Nurse Practitioner (Pediatrics)
140 HAVERHILL ST
ANDOVER, MA 01810
Essex County (978) 475-4522
MS. SARAH E ROBINSON PNP
Nurse Practitioner (Pediatrics)
140 HAVERHILL ST
ANDOVER, MA 01810
Essex County (978) 475-4522

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 Earl Gonzales's NPI number?

The NPI number for Earl Gonzales is 1215134390. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Earl Gonzales located?

Earl Gonzales practices at 140 Haverhill St, Andover, MA 01810. The listed phone number is (978) 475-4202.

What is Earl Gonzales's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Earl Gonzales enrolled in Medicare?

Yes. Earl 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 Earl Gonzales accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Earl 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.

Is Earl Gonzales affiliated with any hospitals?

According to CMS data, Earl Gonzales is affiliated with Lawrence General Hospital.

When was this NPI record last updated?

The NPPES record for Earl Gonzales was last updated on July 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.