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

Q: 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.

Q: What is James Gomez's specialty?

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

Q: 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.

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: October 25, 2026.

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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

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

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.

Medicare Billing Reassignment

Medicare enrollment records show James Gomez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Access Community Health Network

Same address

Federally Qualified Health Center (FQHC)

8321 W NORTH AVE
Melrose Park, IL 60160

Reassigned Medicare billing, Illinois enrollment
413 clinicians in this Medicare group

NPI 1104905702 (708) 672-2298

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

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 9

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))