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LUIS FERNANDO GOMEZ M.D.
NPI 1265408397
Pediatrics in Santa Rosa Beach, FL

Active since February 28, 2006PECOS Enrolled
23 MACK BAYOU LOOP, SUITE 200, SANTA ROSA BEACH, FL 32459(850) 278-3920 Get Directions Write a Review

NPPES record last updated: September 24, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Luis Fernando Gomez M.d. NPPES

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

LUIS FERNANDO GOMEZ M.D. (NPI 1265408397) is an individual pediatrics provider in Santa Rosa Beach, Florida, licensed in Florida (ME70831) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265408397
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameLUIS FERNANDO GOMEZCredential: M.D.
Location Address23 MACK BAYOU LOOP, SUITE 200Santa Rosa Beach, FL 32459-2606
Mailing AddressPo Box 2699Pensacola, FL 32513-2699 · (850) 475-4500
Phone(850) 278-3920
Sole ProprietorNo
Enumeration DateFebruary 28, 2006
Last NPPES UpdateSeptember 24, 2015
✔ NPI 1265408397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME70831
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
23 MACK BAYOU LOOP, Santa Rosa Beach, FL 32459
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) 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 (PECOS)

Luis Fernando Gomez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Luis Gomez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sacred Heart Hospital Of Pensacola
54 mi
Adult Care Home
4451 BAYOU BLVD
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Sacred Heart Health System Inc
  • 446 clinicians in this Medicare group
NPI 1952352304 (850) 475-4500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32459 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 8

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

DR. TIFFANY LAINE VROON M.D.
Pediatrics
23 MACK BAYOU LOOP, SUITE 200
SANTA ROSA BEACH, FL 32459
Walton County (850) 278-3920
CRYSTAL C TIDWELL DO
Pediatrics
23 MACK BAYOU LOOP, STE 200
SANTA ROSA BEACH, FL 32459
Walton County (850) 278-3920
SNEHAL DESAI MD
Internal Medicine (Gastroenterology)
23 MACK BAYOU LOOP
SANTA ROSA BEACH, FL 32459
Walton County (850) 390-4540
MRS. JORDAN ZEMIS MILES PA-C
Physician Assistant (Medical)
23 MACK BAYOU LOOP
SANTA ROSA BEACH, FL 32459
Walton County (850) 390-4540
DR. RICKEY J VIATOR M.D.
Pediatrics
23 MACK BAYOU LOOP, SUITE 200
SANTA ROSA BEACH, FL 32459
Walton County (850) 278-3920
DR. STEPHEN PATRICK BOLDUC M.D.
Pediatrics
23 MACK BAYOU LOOP, SUITE 200
SANTA ROSA BEACH, FL 32459
Walton County (850) 278-3920
DR. KANE ETHAN EDWARDS MD
Internal Medicine (Gastroenterology)
23 MACK BAYOU LOOP
SANTA ROSA BEACH, FL 32459
Walton County (850) 390-4540
DR. JACOB MICHAEL FEAGANS MD
Internal Medicine (Gastroenterology)
23 MACK BAYOU LOOP
SANTA ROSA BEACH, FL 32459
Walton County (850) 390-4540

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 Luis Gomez's NPI number?

The NPI number for Luis Gomez is 1265408397. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Luis Gomez located?

Luis Gomez practices at 23 Mack Bayou Loop Suite 200, Santa Rosa Beach, FL 32459. The listed phone number is (850) 278-3920.

What is Luis Gomez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Luis Gomez enrolled in Medicare?

Yes. Luis Gomez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Luis Gomez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Gomez reassigns Medicare benefits to Sacred Heart Hospital Of Pensacola (Pensacola, FL). The 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 Luis Gomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luis Gomez accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Luis Gomez 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.

When was this NPI record last updated?

The NPPES record for Luis Gomez was last updated on September 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.