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JAMES J GOMEZ MD
NPI 1376654103
Obstetrics & Gynecology in Melrose Park, IL

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
8321 W NORTH AVE, MELROSE PARK, IL 60160(708) 681-2298(708) 681-2398 Get Directions Write a Review

NPPES record last updated: May 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James J Gomez Md NPPES

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

JAMES J GOMEZ MD (NPI 1376654103) is an individual obstetrics & gynecology provider in Melrose Park, Illinois, licensed in Illinois (036084959) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1990).

NPPES Registry Identity

NPI1376654103
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJAMES J GOMEZCredential: MD
Location Address8321 W NORTH AVEMelrose Park, IL 60160-1605
Mailing Address8321 W North AveMelrose Park, IL 60160-1605 · (708) 681-2298 · Fax (708) 681-2398
Phone(708) 681-2298
Fax(708) 681-2398
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1990
Enumeration DateAugust 31, 2006
Last NPPES UpdateMay 13, 2012
✔ NPI 1376654103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036084959
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
8321 W NORTH AVE, Melrose Park, IL 60160
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Other Identifiers 4

Medicare ID-Type Unspecified938490IL
Medicaid036084959IL
Medicare PIN367830
Medicare UPINF88051IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

James J Gomez 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 ID9739078064
PECOS Enrollment IDI20040313000397
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

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.
22 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60160 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

Reported Quality Measures

Breast Cancer Screening
21%157 patients1/55-star benchmark: 93%
Cervical Cancer Screening
86%660 patients4/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
13%582 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
25%2,075 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 625 patients
0%625 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ACCESS COMMUNITY HEALTH NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
8321 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (708) 672-2298
MELROSE PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
8321 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (708) 343-8800
MISS TERESA HOPE MORIARTY PA-C
Physician Assistant
8321 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (708) 681-2298
DR. CHRISTY GARRISON REINHARD M.D.
Pediatrics
8321 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (708) 681-2298
MS. KARINA J MIRANDA PA-C
Physician Assistant
8321 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (708) 681-2298
KEVIN JUDE SHANAHAN
Physician Assistant
8321 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (708) 681-2298
JACQUELINE MARCELLA GREENE-ROPER MD
Family Medicine
8321 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (708) 681-2298
JUSTIN POOLE PA-C
Physician Assistant
8321 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (708) 681-2298

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 James Gomez's NPI number?

The NPI number for James Gomez is 1376654103. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is James Gomez located?

James Gomez practices at 8321 W North Ave, Melrose Park, IL 60160. The listed phone number is (708) 681-2298.

What is James Gomez's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Gomez enrolled in Medicare?

Yes. James Gomez 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.

What insurance does James Gomez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list James 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 James Gomez was last updated on May 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.