GONZALO URBANO M.D.
NPI 1366538340
Internal Medicine in Clovis, CA

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
85.78/100
CMS Quality Rating
2740 HERNDON AVE, CLOVIS, CA 93611(559) 299-2578 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 6, 2024, Mar 9, 2021, Mar 1, 2021 (3 updates tracked since 2021).

About Gonzalo Urbano M.d. NPPES

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

GONZALO URBANO M.D. (NPI 1366538340) is an individual internal medicine provider in Clovis, California, licensed in New York (180174) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1366538340
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGONZALO URBANOCredential: M.D.
Location Address2740 HERNDON AVEClovis, CA 93611-6813
Mailing Address2740 Herndon AveClovis, CA 93611-6813 · (559) 299-2578
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateOctober 5, 2006
Last NPPES UpdateAugust 6, 20243 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
NPI 1366538340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 180174
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2740 HERNDON AVE, Clovis, CA 93611

Other Identifiers 7

Other149379NY · Wellcare Health Plan
Other180174-AIFNY · Healthfirst
Medicaid01237998NY
Other040426028328NY · Fidelis Care
Other100087520001NY · Uhc Medicaid Fhp
Other000330940101NY · Health Plus
Other180174PNY · Healthcare Partners, Inc. Medicare And Medicaid

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gonzalo Urbano M.d. 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 ID3072658236
PECOS Enrollment IDI20210223003070
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
112 services68 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
25 services21 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
24 services24 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
15 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93611 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.3
Promoting Interoperability100
Improvement Activities40
Cost61.3

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$83.33 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$19.09 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 20

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

Family Medicine
2740 HERNDON AVE
CLOVIS, CA 93611
Dentist
2740 HERNDON AVE
CLOVIS, CA 93611
Dietitian, Registered
2740 HERNDON AVE
CLOVIS, CA 93611
Dental Hygienist
2740 HERNDON AVE
CLOVIS, CA 93611
Dietitian, Registered
2740 HERNDON AVE
CLOVIS, CA 93611
Family Medicine
2740 HERNDON AVE, CENTRAL VALLEY INDIAN HEALTH, INC
CLOVIS, CA 93611
Dental Hygienist
2740 HERNDON AVE
CLOVIS, CA 93611
Dietitian, Registered
2740 HERNDON AVE
CLOVIS, CA 93611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366538340, enumerated as an "individual" on October 05, 2006.

The provider is located at 2740 HERNDON AVE CLOVIS, CA 93611 and the phone number is (559) 299-2578.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Wellcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.