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JAY M GONZALEZ DO
NPI 1396739488
Obstetrics & Gynecology in Oshkosh, WI

Active since September 06, 2005PECOS EnrolledAccepts Medicare Assignment
2700 W 9TH AVE, STE 230, OSHKOSH, WI 54904(920) 223-0220 Get Directions Write a Review

NPPES record last updated: September 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jay M Gonzalez Do NPPES

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

JAY M GONZALEZ DO (NPI 1396739488) is an individual obstetrics & gynecology provider in Oshkosh, Wisconsin, licensed in Wisconsin (46930) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1396739488
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJAY M GONZALEZCredential: DO
Location Address2700 W 9TH AVE, STE 230Oshkosh, WI 54904-7247
Mailing Address2700 W 9th Ave, Ste 230Oshkosh, WI 54904-7247 · (920) 223-0220
Phone(920) 223-0220
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 6, 2005
Last NPPES UpdateSeptember 2, 2008
✔ NPI 1396739488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WI · 46930
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2700 W 9TH AVE, Oshkosh, WI 54904
Open in Google Maps ↗

Other Identifiers 3

Medicaid43514100WI
Medicare UPINI13058
Medicare PIN047571018WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Quartz.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

Jay M Gonzalez Do 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 ID1850365966
PECOS Enrollment IDI20040824001036
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.

Hospital Affiliations CMS Care Compare

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

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54904 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
87%83 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
93%466 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
88%92 patients5/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%1,589 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%119 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
54%852 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
51%519 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 448 patients
Patients tobacco: 14% · 91 patients
81%448 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
80%851 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
40%851 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
45%851 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

MRS. JENNIFER MLADUCKY NP
Nurse Practitioner (Family)
2700 W 9TH AVE, SUITE 11
OSHKOSH, WI 54904
Winnebago County (920) 236-1555
TRACY ANN HERREWIG MS
Clinical Exercise Physiologist
2700 W 9TH AVE, SUITE 107
OSHKOSH, WI 54904
Winnebago County (920) 223-1122
MARY MCDONALD MD SC
Internal Medicine (Gastroenterology)
2700 W 9TH AVE, SUITE 300
OSHKOSH, WI 54904
Winnebago County (920) 223-0490
MERCY MEDICAL CENTER OF OSHKOSH, INC
Clinic/Center (Physical Therapy)
2700 W 9TH AVE
OSHKOSH, WI 54904
Winnebago County (920) 236-1850
DIGESTIVE HEALTHCARE SPECIALISTS, SC
Internal Medicine (Gastroenterology)
2700 W 9TH AVE, SUITE315A
OSHKOSH, WI 54904
Winnebago County (920) 236-1630
MAMOUN B AL-NOURI MD
Internal Medicine (Cardiovascular Disease)
2700 W 9TH AVE, STE 106
OSHKOSH, WI 54904
Winnebago County (920) 236-1755
JEFFREY R. MCLAUGHLIN M.D.
Orthopaedic Surgery
2700 W 9TH AVE, SUITE 125
OSHKOSH, WI 54904
Winnebago County (920) 223-0123
THERESA M CHENG MD PHD
Neurological Surgery
2700 W 9TH AVE, STE 203
OSHKOSH, WI 54904
Winnebago County (920) 236-1420

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 Jay Gonzalez's NPI number?

The NPI number for Jay Gonzalez is 1396739488. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is Jay Gonzalez located?

Jay Gonzalez practices at 2700 W 9th Ave Ste 230, Oshkosh, WI 54904. The listed phone number is (920) 223-0220.

What is Jay Gonzalez's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jay Gonzalez enrolled in Medicare?

Yes. Jay 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 Jay Gonzalez accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Quartz list Jay 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 Jay Gonzalez affiliated with any hospitals?

According to CMS data, Jay Gonzalez is affiliated with St. Agnes Hospital Hospice.

When was this NPI record last updated?

The NPPES record for Jay Gonzalez was last updated on September 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.