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LOIRA ENID GONZALEZ MD
NPI 1366903189
Family Medicine in Kissimmee, FL

Active since March 26, 2019PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
4551 PLEASANT HILL RD, KISSIMMEE, FL 34759(407) 847-2212(407) 390-6483 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Loira Enid Gonzalez Md NPPES

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

LOIRA ENID GONZALEZ MD (NPI 1366903189) is an individual family medicine provider in Kissimmee, Florida, licensed in Florida (ME157637) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Sebring, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366903189
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLOIRA ENID GONZALEZCredential: MD
Location Address4551 PLEASANT HILL RDKissimmee, FL 34759-3422
Mailing Address4551 Pleasant Hill RdKissimmee, FL 34759-3422 · (407) 847-2212 · Fax (407) 390-6483
Phone(407) 847-2212
Fax(407) 390-6483
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 26, 2019
Last NPPES UpdateOctober 17, 2022
NPPES CertifiedOctober 17, 2022
✔ NPI 1366903189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME157637
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4551 PLEASANT HILL RD, Kissimmee, FL 34759
Open in Google Maps ↗

Other Names 1

Other Name (5)Loira Enid Gonzalez Hernandez Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, 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

Loira Enid Gonzalez 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 ID6103292164
PECOS Enrollment IDI20221014003052
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

2

Medicare enrollment records show Loira Gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Hospital Medical Group Inc
28 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100
Adventist Health System-Sunbelt Inc
38 mi
Rural Health
1006 W PLEASANT ST
Avon Park, FL 33825
  • Reassigned Medicare billing, Florida enrollment
  • Also billed through NPI 1578725941 (Florida)
  • 105 clinicians in this Medicare group
NPI 1881850956 (863) 453-3121

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.

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.
170 services94 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.
61 services61 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
56 services56 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.
55 services55 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.
34 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34759 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.

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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Other Providers at the Same Location NPPES 6

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

FIRST AID MEDICAL CENTERS INC
Clinic/Center (Primary Care)
4551 PLEASANT HILL RD
POINCIANA, FL 34759
Osceola County (407) 847-2212
DR. DALIENNE MARIE JUARBE GARCIA MD
General Practice
4551 PLEASANT HILL RD
KISSIMMEE, FL 34759
Osceola County (321) 441-8988
SENTRY EMERGENCY PHYSICIANS, LLC
Emergency Medicine
4551 PLEASANT HILL RD
KISSIMMEE, FL 34759
Osceola County (469) 401-2386
SUSAN LYNN MORSE APRN
Nurse Practitioner (Family)
4551 PLEASANT HILL RD
POINCIANA, FL 34759
Osceola County (407) 847-2212
BVL FAMILY MEDICAL CENTER
Non-Pharmacy Dispensing Site
4551 PLEASANT HILL RD
KISSIMMEE, FL 34759
Osceola County (407) 847-2212
EARNEST EMERGENCY PHYSICIANS, LLC
Emergency Medicine
4551 PLEASANT HILL RD
KISSIMMEE, FL 34759
Osceola County (469) 401-2386

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 Loira Gonzalez's NPI number?

The NPI number for Loira Gonzalez is 1366903189. It was assigned to this individual provider in the NPPES registry on March 26, 2019. The provider is also known as Loira Enid Gonzalez Hernandez MD.

Where is Loira Gonzalez located?

Loira Gonzalez practices at 4551 Pleasant Hill Rd, Kissimmee, FL 34759. The listed phone number is (407) 847-2212.

What is Loira Gonzalez's specialty?

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

Is Loira Gonzalez enrolled in Medicare?

Yes. Loira Gonzalez 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 Loira Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Loira Gonzalez reassigns Medicare benefits to 2 organizations: Florida Hospital Medical Group Inc (Orlando, FL) and Adventist Health System-Sunbelt Inc (Avon Park, FL). 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 Loira Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Loira Gonzalez accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., UnitedHealthcare and Wellpoint list Loira Gonzalez 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 Loira Gonzalez affiliated with any hospitals?

According to CMS data, Loira Gonzalez is affiliated with Adventhealth Sebring.

When was this NPI record last updated?

The NPPES record for Loira Gonzalez was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.