GARY W PADILLA-MALDONADO MD
NPI 1396272902
Radiology - Diagnostic Radiology in Jacksonville, FL

Active since May 12, 2017PECOS EnrolledAccepts Medicare Assignment
76.2/100
CMS Quality Rating
4500 SAN PABLO RD S FL 32224, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 1, 2020, Jun 13, 2018, May 12, 2017 (3 updates tracked since 2017).

About Gary W Padilla-maldonado Md NPPES

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

GARY W PADILLA-MALDONADO MD (NPI 1396272902) is an individual diagnostic radiology provider in Jacksonville, Florida, licensed in Florida (ME143504) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Jfk Hospital, and maintains a secondary practice location in San Juan.

NPPES Registry Identity

NPI1396272902
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameGARY W PADILLA-MALDONADOCredential: MD
Location Address4500 SAN PABLO RD S FL 32224Jacksonville, FL 32224
Mailing Address4500 San Pablo Rd S Fl 32224Jacksonville, FL 32224-1865 · (904) 953-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 12, 2017
Last NPPES UpdateSeptember 21, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2023
NPI 1396272902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in FL · ME143504
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

4500 SAN PABLO RD S FL 32224, Jacksonville, FL 32224

Other Names 1

Other Name (5)Gary W Padilla Maldonado

Secondary Practice Location 1

Location 1550 Sergio Cuevas Busta, San Juan, PRSan Juan, PR 00936 · Phone (787) 758-8383 ext. 8494

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

Gary W Padilla-maldonado 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 ID4789931379
PECOS Enrollment IDI20230623002237
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 29

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
470 services402 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
144 services137 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
110 services109 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
103 services93 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
101 services101 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
45 services45 patients

Hospital Affiliations CMS Care Compare 4

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

Hca Florida Jfk Hospital

Acute Care Hospitals · Atlantis, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100080
Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County
Emergency services

Hca Florida Northwest Hospital

Acute Care Hospitals · Margate, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100189
Location2801 N State Rd 7Margate, FL 33063 · Broward County
Emergency services Birthing friendly

University Hospital And Medical Center

Acute Care Hospitals · Tamarac, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100224
Location7201 N University DrTamarac, FL 33321 · Broward County
Emergency services

Hca Florida Palms West Hospital

Acute Care Hospitals · Loxahatchee, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100269
Location13001 Southern BlvdLoxahatchee, FL 33470 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

76.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.33
Promoting Interoperability100
Improvement Activities40
Cost51.32

Other Providers at the Same Location NPPES 12

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
4500 SAN PABLO RD S FL 32224
JACKSONVILLE, FL 32224
Dietitian, Registered
4500 SAN PABLO RD S FL 32224
JACKSONVILLE, FL 32224
Surgery
4500 SAN PABLO RD S FL 32224
JACKSONVILLE, FL 32224
Orthopaedic Surgery
4500 SAN PABLO RD S FL 32224
JACKSONVILLE, FL 32224
Occupational Therapist
4500 SAN PABLO RD S FL 32224
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S FL 32224
JACKSONVILLE, FL 32224
Surgery
4500 SAN PABLO RD S FL 32224
JACKSONVILLE, FL 32224
Internal Medicine (Gastroenterology)
4500 SAN PABLO RD S FL 32224
JACKSONVILLE, FL 32224

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 Gary Padilla-maldonado's NPI number?

The NPI number for Gary Padilla-maldonado is 1396272902. It was assigned to this individual provider in the NPPES registry on May 12, 2017. The provider is also known as Gary W Padilla Maldonado.

Where is Gary Padilla-maldonado located?

Gary Padilla-maldonado practices at 4500 San Pablo Rd S Fl 32224, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.

What is Gary Padilla-maldonado's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Gary Padilla-maldonado enrolled in Medicare?

Yes. Gary Padilla-maldonado 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 Gary Padilla-maldonado accept?

Health plans from Molina Healthcare and Oscar Health Maintenance Organization of Florida list Gary Padilla-maldonado 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 Gary Padilla-maldonado affiliated with any hospitals?

According to CMS data, Gary Padilla-maldonado is affiliated with Hca Florida Jfk Hospital, Hca Florida Northwest Hospital, University Hospital And Medical Center and Hca Florida Palms West Hospital.

When was this NPI record last updated?

The NPPES record for Gary Padilla-maldonado was last updated on September 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.