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MELISSA MAXINE GONZALEZ M.D.
NPI 1396286597
Family Medicine in Neptune, NJ

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
3301 ROUTE 66 STE 102, NEPTUNE, NJ 07753(848) 217-2700(732) 922-1580 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2021, Aug 7, 2020, Apr 9, 2018 and 1 more (4 updates tracked since 2017).

About Melissa Maxine Gonzalez M.d. NPPES

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

MELISSA MAXINE GONZALEZ M.D. (NPI 1396286597) is an individual family medicine provider in Neptune, New Jersey, licensed in New Jersey (25MA10711400) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Monmouth Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1396286597
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMELISSA MAXINE GONZALEZCredential: M.D.
Location Address3301 ROUTE 66 STE 102Neptune, NJ 07753-2705
Mailing Address3301 Route 66 Bldg BNeptune, NJ 07753-2705 · (848) 217-2700 · Fax (732) 922-1580
Phone(848) 217-2700
Fax(732) 922-1580
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 20, 2017
Last NPPES UpdateMay 29, 20244 updates tracked since enumeration
NPPES CertifiedMay 29, 2024
✔ NPI 1396286597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA10711400
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.
3301 ROUTE 66 STE 102, Neptune, NJ 07753
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Melissa Maxine 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 ID6103176995
PECOS Enrollment IDI20200820002740
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 4

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.
71 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services31 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.
36 services36 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Hiram ***** November 26, 2023

5/5
Dr. Gonzalez is an outstanding Doctor and i believe she should be awarded Doctor of the year!
Provider 5/5 Office Staff 2/5
Visited this provider? Share your experience.

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 Melissa Gonzalez's NPI number?

The NPI number for Melissa Gonzalez is 1396286597. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Melissa Gonzalez located?

Melissa Gonzalez practices at 3301 Route 66 Ste 102, Neptune, NJ 07753. The listed phone number is (848) 217-2700.

What is Melissa Gonzalez's specialty?

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

Is Melissa Gonzalez enrolled in Medicare?

Yes. Melissa 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 Melissa Gonzalez accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Melissa 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 Melissa Gonzalez affiliated with any hospitals?

According to CMS data, Melissa Gonzalez is affiliated with Monmouth Medical Center.

When was this NPI record last updated?

The NPPES record for Melissa Gonzalez was last updated on May 29, 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.