DR. MARILOU MARCELO GONZALEZ M.D.
NPI 1376863712
Family Medicine in Plummer, ID

Active since June 08, 2010PECOS EnrolledAccepts Medicare Assignment
MAIRMN HEALTH, 427 N. 12TH STREET, PLUMMER, ID 83851(208) 686-1931(208) 686-5133 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marilou Marcelo Gonzalez M.d. NPPES

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

DR. MARILOU MARCELO GONZALEZ M.D. (NPI 1376863712) is an individual family medicine provider in Plummer, Idaho, licensed in Idaho (M-13052) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1376863712
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARILOU MARCELO GONZALEZCredential: M.D.
Location AddressMAIRMN HEALTH, 427 N. 12TH STREETPlummer, ID 83851
Mailing AddressP.o. Box 388, 427 N. 12th StreetPlummer, ID 83851 · (208) 686-1931 · Fax (208) 686-0213
Fax(208) 686-5133
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 8, 2010
Last NPPES UpdateNovember 24, 2021
NPPES CertifiedNovember 24, 2021
NPI 1376863712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ID · M-13052
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.
MAIRMN HEALTH, Plummer, ID 83851

Accepted 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

Dr. Marilou Marcelo Gonzalez 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 ID4587982962
PECOS Enrollment IDI20150924001481
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 20

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
416 services278 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
308 services237 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
304 services231 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
168 services140 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
168 services154 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
155 services142 patients

Hospital Affiliations CMS Care Compare 2

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

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Benewah Community Hospital

Critical Access Hospitals · St Maries, ID
OwnershipGovernment - Local
CMS Certification Number131317
Location229 South 7th StreetSt Maries, ID 83861 · Benewah County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83851 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier29 claims58 services$57.00 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
1 supplier29 claims166 services$36.64 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers13 claims13 services$20.61 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers14 claims84 services$3.00 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers27 claims27 services$18.63 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$34.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Marilou Gonzalez's NPI number?

The NPI number for Marilou Gonzalez is 1376863712. It was assigned to this individual provider in the NPPES registry on June 8, 2010.

Where is Marilou Gonzalez located?

Marilou Gonzalez practices at Mairmn Health 427 N. 12th Street, Plummer, ID 83851. The listed phone number is (208) 686-1931.

What is Marilou Gonzalez's specialty?

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

Is Marilou Gonzalez enrolled in Medicare?

Yes. Marilou 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.

What insurance does Marilou Gonzalez accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Marilou 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 Marilou Gonzalez affiliated with any hospitals?

According to CMS data, Marilou Gonzalez is affiliated with Kootenai Health and Benewah Community Hospital.

When was this NPI record last updated?

The NPPES record for Marilou Gonzalez was last updated on November 24, 2021. 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.