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MARK GONWA MD
NPI 1275601437
Radiology - Diagnostic Radiology in West Palm Beach, FL

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1500 N DIXIE HWAY, STE 306, WEST PALM BEACH, FL 33401(561) 837-4834(561) 837-2225 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark Gonwa Md NPPES

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

MARK GONWA MD (NPI 1275601437) is an individual diagnostic radiology provider in West Palm Beach, Florida, licensed in Florida (ME64311) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and is a graduate of Northwestern University Feinberg Medical School (1987).

NPPES Registry Identity

NPI1275601437
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARK GONWACredential: MD
Location Address1500 N DIXIE HWAY, STE 306West Palm Beach, FL 33401
Mailing Address68 Monterey Point DrPalm Beach Gardens, FL 33418 · (561) 670-5215
Phone(561) 837-4834
Fax(561) 837-2225
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1987
Enumeration DateDecember 4, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1275601437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in FL · ME64311
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1500 N DIXIE HWAY, West Palm Beach, FL 33401
Open in Google Maps ↗

Other Identifiers 3

Other000000545011KY · Anthem Bcbs
Medicaid7100037330KY
Medicaid378003100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..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

Mark Gonwa 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 ID5799748414
PECOS Enrollment IDI20041104000413, I20250307002280
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

3

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

Dean Health Systems, Inc
1,242 mi
Allergy & Immunology
1211 FISH HATCHERY RD
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,377 clinicians in this Medicare group
NPI 1053358846 (608) 252-8000
Madison Radiologists S C
1,243 mi
Diagnostic Radiology
700 S PARK ST
Madison, WI 53715
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1871573725 (608) 251-6100
University Medical Center Of Southern Nevada
2,152 mi
Urgent Care
525 MARKS ST
Henderson, NV 89014
  • Reassigned Medicare billing, Nevada and Florida enrollments
  • Also billed through NPI 1548393127 (Florida)
  • 522 clinicians in this Medicare group
NPI 1538721642 (702) 383-6210

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 10

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.

Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
49 services49 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
27 services27 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
26 services26 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
26 services26 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
21 services20 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
17 services12 patients

Hospital Affiliations CMS Care Compare 5

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

The Monroe Clinic

Acute Care Hospitals · Monroe, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520028
Location515 22nd AveMonroe, WI 53566 · Green County
Emergency services Birthing friendly

Ssm Health St Clare Hospital - Baraboo

Acute Care Hospitals · Baraboo, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520057
Location707 14th StBaraboo, WI 53913 · Sauk County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Columbus Community Hospital

Critical Access Hospitals · Columbus, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521338
Location1515 Park AveColumbus, WI 53925 · Columbia County
Emergency services

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33401 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

PALM BEACH RADIOLOGY INSTITUTE LLC
Radiology (Diagnostic Radiology)
1500 N DIXIE HWAY
WEST PALM BEACH, FL 33401
Palm Beach County (561) 837-4834

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 Mark Gonwa's NPI number?

The NPI number for Mark Gonwa is 1275601437. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Mark Gonwa located?

Mark Gonwa practices at 1500 N Dixie Hway Ste 306, West Palm Beach, FL 33401. The listed phone number is (561) 837-4834.

What is Mark Gonwa's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mark Gonwa enrolled in Medicare?

Yes. Mark Gonwa 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 Mark Gonwa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Gonwa reassigns Medicare benefits to 3 organizations: Dean Health Systems, Inc (Madison, WI), Madison Radiologists S C (Madison, WI) and University Medical Center Of Southern Nevada (Henderson, NV). 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 Mark Gonwa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Gonwa accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Mark Gonwa 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 Mark Gonwa affiliated with any hospitals?

According to CMS data, Mark Gonwa is affiliated with The Monroe Clinic, Ssm Health St Clare Hospital - Baraboo, Ssm Health St Mary's Hospital - Madison, Columbus Community Hospital and Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Mark Gonwa was last updated on March 7, 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.