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DEREK GONZALEZ MD
NPI 1235661158
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Tampa, FL

Active since March 30, 2017PECOS EnrolledAccepts Medicare Assignment
65.34/100
CMS Quality Rating
14547 BRUCE B DOWNS BLVD STE A, TAMPA, FL 33613(813) 979-0440(813) 355-5054 Get Directions Write a Review

NPPES record last updated: September 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2023, Mar 30, 2017 (2 updates tracked since 2017).

About Derek Gonzalez Md NPPES

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

DEREK GONZALEZ MD (NPI 1235661158) is an individual orthopaedic surgery of the spine provider in Tampa, Florida, licensed in Florida (ME164149) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Zephyrhills, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1235661158
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDEREK GONZALEZCredential: MD
Location Address14547 BRUCE B DOWNS BLVD STE ATampa, FL 33613-2709
Mailing Address38135 Market Square DrZephyrhills, FL 33542-7505 · (352) 567-0188 · Fax (813) 355-5101
Phone(813) 979-0440
Fax(813) 355-5054
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 30, 2017
Last NPPES UpdateSeptember 10, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2023
✔ NPI 1235661158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in FL · ME164149
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
14547 BRUCE B DOWNS BLVD STE A, Tampa, FL 33613
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Cigna Healthcare 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

Derek 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 ID8921342585
PECOS Enrollment IDI20230822003238
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 Derek Gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Medical Clinic LLC
21 mi
Clinic/Center
38135 MARKET SQUARE
Zephyrhills, FL 33542
  • Reassigned Medicare billing, Florida enrollment
  • 451 clinicians in this Medicare group
NPI 1821055690 (813) 780-8440
Ohi West Medical Group II LLC
21 mi
General Practice
38135 MARKET SQUARE DR
Zephyrhills, FL 33542
  • Reassigned Medicare billing, Florida enrollment
  • 467 clinicians in this Medicare group
NPI 1982381299 (813) 780-8774

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 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.

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.
237 services187 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
190 services187 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.
140 services120 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.
79 services79 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
73 services64 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
42 services32 patients

Hospital Affiliations CMS Care Compare 5

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

Florida Hospital Zephyrhills

Acute Care Hospitals · Zephyrhills, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100046
Location7050 Gall BlvdZephyrhills, FL 33541 · Pasco County
Emergency services Birthing friendly

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Adventhealth Dade City

Acute Care Hospitals · Dade City, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100211
Location13100 Ft King RdDade City, FL 33525 · Pasco County

Adventhealth Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100319
Location2600 Bruce B Downs BlvdWesley Chapel, FL 33544 · Pasco County
Emergency services Birthing friendly

Baycare Hospital Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL
OwnershipProprietary
CMS Certification Number100362
Location4501 Bruce B. Downs BlvdWesley Chapel, FL 33544 · Pasco County
Emergency services

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.

65.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability0
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

MRS. PAIGE MOLLY MCNASH APRN
Nurse Practitioner
14547 BRUCE B DOWNS BLVD STE A
TAMPA, FL 33613
Hillsborough County (813) 280-7100
DR. MICHAEL ANDRES CARRANZA DO
Internal Medicine (Gastroenterology)
14547 BRUCE B DOWNS BLVD STE A
TAMPA, FL 33613
Hillsborough County (813) 280-7100
DR. JOSEPH SPENCER CODY MD
Internal Medicine (Gastroenterology)
14547 BRUCE B DOWNS BLVD STE A
TAMPA, FL 33613
Hillsborough County (813) 972-2324
CASSANDRA ALAYNE GANDLE M.D.
Internal Medicine (Gastroenterology)
14547 BRUCE B DOWNS BLVD STE A
TAMPA, FL 33613
Hillsborough County (813) 280-7100
MS. STEPHANIE LIN DELVAUX APRN
Nurse Practitioner
14547 BRUCE B DOWNS BLVD STE A
TAMPA, FL 33613
Hillsborough County (813) 280-7100

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 Derek Gonzalez's NPI number?

The NPI number for Derek Gonzalez is 1235661158. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Derek Gonzalez located?

Derek Gonzalez practices at 14547 Bruce B Downs Blvd Ste A, Tampa, FL 33613. The listed phone number is (813) 979-0440.

What is Derek Gonzalez's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Derek Gonzalez enrolled in Medicare?

Yes. Derek 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 Derek Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Gonzalez reassigns Medicare benefits to 2 organizations: Florida Medical Clinic LLC (Zephyrhills, FL) and Ohi West Medical Group II LLC (Zephyrhills, FL). 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 Derek Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Gonzalez accept?

Health plans from AmeriHealth Caritas Next, AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Derek 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 Derek Gonzalez affiliated with any hospitals?

According to CMS data, Derek Gonzalez is affiliated with Florida Hospital Zephyrhills, Adventhealth Tampa, Adventhealth Dade City, Adventhealth Wesley Chapel and Baycare Hospital Wesley Chapel.

When was this NPI record last updated?

The NPPES record for Derek Gonzalez was last updated on September 10, 2023. 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.