DR. JAMES JOSEPH GONZALES MD
NPI 1255504627
Surgery in Macomb, IL

Q: What is James Gonzales's NPI number?

The NPI number for James Gonzales is 1255504627. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Q: What is James Gonzales's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Gonzales was last updated on September 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 08, 2008PECOS EnrolledAccepts Medicare Assignment

515 E GRANT ST, STE 211, MACOMB, IL 61455(309) 833-3706 Get Directions Write a Review

NPPES record last updated: September 17, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. James Joseph Gonzales Md NPPES

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

DR. JAMES JOSEPH GONZALES MD (NPI 1255504627) is an individual surgery provider in Macomb, Illinois, licensed in Illinois (036136309) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1999).

NPPES Registry Identity

NPI1255504627

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. JAMES JOSEPH GONZALESCredential: MD

Location Address515 E GRANT ST, STE 211Macomb, IL 61455-3368

Mailing Address515 E Grant St, Ste 211Macomb, IL 61455-3368 · (309) 833-3706

Phone(309) 833-3706

Sole ProprietorYes

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1999

Enumeration DateApril 8, 2008

Last NPPES UpdateSeptember 17, 2014

✔ NPI 1255504627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in IL · 036136309✔ Licensed in GA · 054734✔ Licensed in CA · A75715

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.

515 E GRANT ST, Macomb, IL 61455

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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

Dr. James Joseph 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 ID1759434608

PECOS Enrollment IDI20210914003198

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

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

Mark Twain Medical Center

1,608 mi

Critical Access

768 MOUNTAIN RANCH RD
San Andreas, CA 95249

Reassigned Medicare billing, California enrollment
40 clinicians in this Medicare group

NPI 1508968819 (209) 754-3521

Surgical Affiliates Of California

1,639 mi

Surgery

807 ILLINOIS AVE
Los Banos, CA 93635

Reassigned Medicare billing, California enrollment
91 clinicians in this Medicare group

NPI 1932440781 (209) 710-8695

Acute Care Surgery Medical Group, Inc.

1,643 mi

Surgery

2801 K STREET SUITE 440
Sacramento, CA 95816

Reassigned Medicare billing, California enrollment
266 clinicians in this Medicare group

NPI 1700069549 (916) 441-0400

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 7

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

44 services43 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

42 services40 patients

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.

40 services39 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

30 services30 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.

30 services23 patients

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.

24 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61455 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402

DME-Medical/Surgical Supplies · category DA023N

1 supplier14 claims690 services$0.11 avg. paid by Medicare

Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each A6545

DME-Medical/Surgical Supplies · category DA000N

1 supplier25 claims34 services$80.37 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

KHALED A DABASH M.D.

Pediatrics

515 E GRANT ST
MACOMB, IL 61455

McDonough County (309) 836-5437

MACOMB INTERNAL MEDICINE LTD

Internal Medicine

515 E GRANT ST, STE 111
MACOMB, IL 61455

McDonough County (309) 837-9926

MCDONOUGH COUNTY HOSPITAL DISTRICT

Surgery

515 E GRANT ST, SUITE 211
MACOMB, IL 61455

McDonough County (309) 833-3706

DR. WEILI ZHANG D.O.

Family Medicine

515 E GRANT ST, SUITE 213
MACOMB, IL 61455

McDonough County (309) 833-4101

DR. DAVID W REEM MD

Internal Medicine

515 E GRANT ST, SUITE 111
MACOMB, IL 61455

McDonough County (309) 837-9926

ROBYN R ALLEY-HAY M.D.

Obstetrics & Gynecology

515 E GRANT ST, SUITE 112
MACOMB, IL 61455

McDonough County (309) 837-1206

MRS. KAMIE DEE MCKEE NP-C

Nurse Practitioner (Family)

515 E GRANT ST, SUITE 113
MACOMB, IL 61455

McDonough County (309) 333-2439

DR. TUANGUI K CHENG MD

Internal Medicine

515 E GRANT ST, SUITE 111
MACOMB, IL 61455

McDonough County (309) 837-9926

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 James Gonzales's NPI number?

The NPI number for James Gonzales is 1255504627. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Where is James Gonzales located?

James Gonzales practices at 515 E Grant St Ste 211, Macomb, IL 61455. The listed phone number is (309) 833-3706.

What is James Gonzales's specialty?

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

Is James Gonzales enrolled in Medicare?

Yes. James 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.

Which organizations bill Medicare for James Gonzales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Gonzales reassigns Medicare benefits to 3 organizations: Mark Twain Medical Center (San Andreas, CA), Surgical Affiliates Of California (Los Banos, CA) and Acute Care Surgery Medical Group, Inc. (Sacramento, CA). 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 James Gonzales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Gonzales was last updated on September 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.