DR. EVELINDA DOMINIQUE GONZALES-PRYOR MD
NPI 1265875603
Family Medicine in Tucson, AZ

Q: What is Evelinda Gonzales-pryor's NPI number?

The NPI number for Evelinda Gonzales-pryor is 1265875603. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Q: What is Evelinda Gonzales-pryor's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 16, 2013PECOS EnrolledAccepts Medicare Assignment

97.64/100

CMS Quality Rating

707 N ALVERNON WAY STE 101, TUCSON, AZ 85711(520) 694-8888(520) 694-1640 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2019, Oct 9, 2018, Feb 1, 2017 (3 updates tracked since 2017).

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About Dr. Evelinda Dominique Gonzales-pryor Md NPPES

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

DR. EVELINDA DOMINIQUE GONZALES-PRYOR MD (NPI 1265875603) is an individual family medicine provider in Tucson, Arizona, licensed in Arizona (54024) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (2013).

NPPES Registry Identity

NPI1265875603

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. EVELINDA DOMINIQUE GONZALES-PRYORCredential: MD

Location Address707 N ALVERNON WAY STE 101Tucson, AZ 85711-1830

Mailing Address707 N Alvernon Way Ste 101Tucson, AZ 85711-1830 · (520) 694-8888 · Fax (520) 694-1640

Phone(520) 694-8888

Fax(520) 694-1640

Sole ProprietorNo

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2013

Enumeration DateApril 16, 2013

Last NPPES UpdateJune 12, 20193 updates tracked since enumeration

✔ NPI 1265875603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in AZ · 54024✔ Licensed in NM · MD2016-0669

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

707 N ALVERNON WAY STE 101, Tucson, AZ 85711

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Other Identifiers 1

Medicaid72727853NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. 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

Dr. Evelinda Dominique Gonzales-pryor 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 ID1052544327

PECOS Enrollment IDI20180227000109

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 Evelinda Gonzales-pryor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

El Rio Santa Cruz Neighborhood Health Center, Inc

1.4 mi

Federally Qualified Health Center (FQHC)

3655 E GRANT RD
Tucson, AZ 85716

Reassigned Medicare billing, Arizona enrollment
464 clinicians in this Medicare group

NPI 1477204485 (520) 670-3090

Northwest Hbp Medical Services LLC

8.5 mi

Emergency Medicine

6200 N LA CHOLLA BLVD
Tucson, AZ 85741

Reassigned Medicare billing, Arizona enrollment
664 clinicians in this Medicare group

NPI 1407353006 (520) 229-2657

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 6

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.

80 services30 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.

58 services45 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.

33 services32 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

19 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

16 services12 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.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85711 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

97.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.77

Promoting Interoperability

98.67

Improvement Activities

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.

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