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RICHARD D GONZALES MD
NPI 1386795474
Family Medicine in Huntsville, AL

Active since January 15, 2007PECOS EnrolledAccepts Medicare Assignment
67.86/100
CMS Quality Rating
4012 UNIVERSITY DR NW, HUNTSVILLE, AL 35816(256) 882-0000 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2023, Mar 30, 2023, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Richard D Gonzales Md NPPES

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

RICHARD D GONZALES MD (NPI 1386795474) is an individual family medicine provider in Huntsville, Alabama, licensed in Alabama (MD.42239) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1386795474
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICHARD D GONZALESCredential: MD
Location Address4012 UNIVERSITY DR NWHuntsville, AL 35816-3002
Mailing Address601 S Harbour Island Blvd Ste 200Tampa, FL 33602-5925 · (800) 480-5243
Phone(256) 882-0000
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateJanuary 15, 2007
Last NPPES UpdateJanuary 22, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2024
✔ NPI 1386795474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · MD.42239
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.
4012 UNIVERSITY DR NW, Huntsville, AL 35816
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11948 Al Highway 157 Ste 450Cullman, AL 35058-0643 · Phone (256) 735-5075 · Fax (256) 735-5076
Location 21635 Highway 31 NW Ste AHartselle, AL 35640-4482 · Phone (256) 735-5900 · Fax (256) 417-4719

Other Identifiers 2

Medicaid263136AL
Medicaid274194AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Richard D Gonzales 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 ID7911078357
PECOS Enrollment IDI20210302000815
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 12

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.
178 services121 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.
139 services139 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.
128 services128 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.
123 services85 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.
106 services106 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
97 services85 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35816 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

67.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.35
Promoting Interoperability89
Improvement Activities40
Cost49.68

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.49 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$85.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

JOSHUA LLOYD WASHINGTON
Family Medicine
4012 UNIVERSITY DR NW
HUNTSVILLE, AL 35816
Madison County (256) 882-0000

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 Richard Gonzales's NPI number?

The NPI number for Richard Gonzales is 1386795474. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Richard Gonzales located?

Richard Gonzales practices at 4012 University Dr NW, Huntsville, AL 35816. The listed phone number is (256) 882-0000.

What is Richard Gonzales's specialty?

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

Is Richard Gonzales enrolled in Medicare?

Yes. Richard Gonzales 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 Richard Gonzales accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Richard Gonzales 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 Richard Gonzales was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.