MR. JOHN DANIEL GONZALES JR.
NPI 1376785469
Nurse Anesthetist, Certified Registered in Columbia, SC

NPI Status: Active since April 03, 2009

Contact Information

2435 FOREST DR
COLUMBIA, SC
ZIP 29204
Phone: (803) 256-5300

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  • Individual
  • Male
  • Years of Experience 17
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About JOHN GONZALES

This page provides the complete NPI Profile along with additional information for John Gonzales, a provider established in Columbia, South Carolina with a medical specialization in Nurse Anesthetist, Certified Registered and more than 17 years of experience. He graduated from University Of South Carolina School Of Medicine in 2009. The healthcare provider is registered in the NPI registry with number 1376785469 assigned on April 2009. The practitioner's primary taxonomy code is 367500000X with license number 3896 (SC). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1376785469
Provider Name
MR. JOHN DANIEL GONZALES JR.
Gender
Male
Entity Type
Individual
Location Address
2435 FOREST DR COLUMBIA, SC 29204
Location Phone
(803) 256-5300
Mailing Address
PO BOX 1467 COLUMBIA, SC 29202
Mailing Phone
(803) 765-1838
Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year
2009
Is Sole Proprietor?
No
Enumeration Date
04-03-2009
Last Update Date
06-01-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
3896
License State
SC
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Reedy Bronze 1 - HMO
  • Blue Reedy Bronze 2 - HMO
  • Blue Reedy Gold 1 - HMO
  • Blue Reedy Silver 1 - HMO
  • Blue Reedy Silver 2 - HMO
  • Blue Reedy Silver 2 + Adult Vision - HMO
  • Blue Reedy Standard Expanded Bronze - HMO
  • Blue Reedy Standard Gold - HMO
  • Blue Reedy Standard Silver - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

John Gonzales is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 7911058821

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20090706000151

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for lens surgery

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

This service was performed 103 times for 101 patients

Anesthesia for other procedure on forearm, wrist, or hand bones

Anesthesia for procedures on forearm, wrist, or hand bones involves administering medications to block sensation in the specific area. It ensures you don't feel pain during the procedure. It can be local (numbing a small area) or regional (numbing a larger part of the body).

This service was performed 27 times for 26 patients

Anesthesia for other procedure on lower spine

Anesthesia for a lower spine procedure involves administering medication to block pain and sensation in your back. This ensures comfort and stillness during the procedure. The type of anesthesia used depends on the specific procedure and your overall health.

This service was performed 17 times for 17 patients

Anesthesia for other procedure on nose and sinuses

Anesthesia for procedures on the nose and sinuses involves administering medication to block sensation, ensuring comfort during the procedure. It can be local (numbing a specific area) or general (you're asleep). This helps prevent pain and discomfort during the procedure.

This service was performed 19 times for 18 patients

Anesthesia for other procedure on skin of arms, legs, and front body

Anesthesia for procedures on the skin of your arms, legs, and front body is a service that numbs the area being treated. This ensures you don't feel pain during procedures like biopsies, stitches, or minor surgeries. It's administered through a small injection or a topical cream.

This service was performed 12 times for 12 patients

Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand

Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.

This service was performed 98 times for 92 patients

Anesthesia for total hip replacement

Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.

This service was performed 12 times for 12 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.01 for a new patient copayment and $16.78 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 29204 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $124.04
  • Minimum New Patient Price $53.57
  • Maximum New Patient Price $163.84
  • Average New Patient Copayment $31.01
  • Minimum New Patient Copayment $13.39
  • Maximum New Patient Copayment $40.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.12
  • Minimum Established Patient Price $16.96
  • Maximum Established Patient Price $133.52
  • Average Established Patient Copayment $16.78
  • Minimum Established Patient Copayment $4.24
  • Maximum Established Patient Copayment $33.38

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376785469, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 1 + 4 + 8 + 1 + 0 + 4 + 1 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1376785469.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
2435 FOREST DR
COLUMBIA, SC 29204
Anesthesiology
2435 FOREST DR
COLUMBIA, SC 29204
Pathology (Anatomic Pathology & Clinical Pathology)
2435 FOREST DR, C/O PROVIDENCE HOSPITAL
COLUMBIA, SC 29204
Pathology (Anatomic Pathology & Clinical Pathology)
2435 FOREST DR, C/O PROVIDENCE HOSPITAL
COLUMBIA, SC 29204
Pathology (Anatomic Pathology & Clinical Pathology)
2435 FOREST DR, C/O PROVIDENCE HOSPITAL
COLUMBIA, SC 29204
Anesthesiology
2435 FOREST DR
COLUMBIA, SC 29204
Nurse Anesthetist, Certified Registered
2435 FOREST DR
COLUMBIA, SC 29204
Nurse Anesthetist, Certified Registered
2435 FOREST DR, MAILBOX 87
COLUMBIA, SC 29204
Nurse Practitioner
2435 FOREST DR
COLUMBIA, SC 29204
Pharmacist
2435 FOREST DR
COLUMBIA, SC 29204
Nurse Anesthetist, Certified Registered
2435 FOREST DR
COLUMBIA, SC 29204
Internal Medicine
2435 FOREST DR
COLUMBIA, SC 29204
Nurse Practitioner (Acute Care)
2435 FOREST DR
COLUMBIA, SC 29204
Emergency Medicine
2435 FOREST DR
COLUMBIA, SC 29204
Emergency Medicine
2435 FOREST DR
COLUMBIA, SC 29204
Specialist/Technologist (Athletic Trainer)
2435 FOREST DR
COLUMBIA, SC 29204
Specialist
2435 FOREST DR
COLUMBIA, SC 29204
Hospitalist
2435 FOREST DR
COLUMBIA, SC 29204
Anesthesiology
2435 FOREST DR
COLUMBIA, SC 29204
Anesthesiology
2435 FOREST DR
COLUMBIA, SC 29204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376785469, enumerated as an "individual" on April 03, 2009.

The provider is located at 2435 FOREST DR COLUMBIA, SC 29204 and the phone number is (803) 256-5300.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina. Please consult your insurance carrier or call the provider to verify.