GONZALO E RUIZ MD
NPI 1407167356
Family Medicine in Madison, WI

Active since June 25, 2010PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
2402 WINNEBAGO ST, MADISON, WI 53704(608) 242-6855(608) 242-6848 Get Directions Write a Review

NPPES record last updated: July 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gonzalo E Ruiz Md NPPES

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

GONZALO E RUIZ MD (NPI 1407167356) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (82602-20) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1407167356
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGONZALO E RUIZCredential: MD
Location Address2402 WINNEBAGO STMadison, WI 53704-5341
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 242-6848
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 25, 2010
Last NPPES UpdateJuly 3, 2022
NPPES CertifiedJuly 3, 2022
NPI 1407167356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WI · 82602-20 Licensed in ME · EC101072 Licensed in IL · 036138349
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.
2402 WINNEBAGO ST, Madison, WI 53704

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

Gonzalo E Ruiz 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 ID9436388840
PECOS Enrollment IDI20200427002344
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 9

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 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.
124 services122 patients
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.
103 services102 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
28 services28 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.
22 services22 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53704 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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.

Pediatrics
2402 WINNEBAGO ST
MADISON, WI 53704
Nurse Practitioner
2402 WINNEBAGO ST
MADISON, WI 53704
Family Medicine
2402 WINNEBAGO ST
MADISON, WI 53704
Pediatrics
2402 WINNEBAGO ST
MADISON, WI 53704
Pediatrics
2402 WINNEBAGO ST
MADISON, WI 53704
Family Medicine
2402 WINNEBAGO ST
MADISON, WI 53704
Nurse Practitioner
2402 WINNEBAGO ST
MADISON, WI 53704
Family Medicine
2402 WINNEBAGO ST
MADISON, WI 53704

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 Gonzalo Ruiz's NPI number?

The NPI number for Gonzalo Ruiz is 1407167356. It was assigned to this individual provider in the NPPES registry on June 25, 2010.

Where is Gonzalo Ruiz located?

Gonzalo Ruiz practices at 2402 Winnebago St, Madison, WI 53704. The listed phone number is (608) 242-6855.

What is Gonzalo Ruiz's specialty?

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

Is Gonzalo Ruiz enrolled in Medicare?

Yes. Gonzalo Ruiz 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.

Is Gonzalo Ruiz affiliated with any hospitals?

According to CMS data, Gonzalo Ruiz is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Gonzalo Ruiz was last updated on July 3, 2022. 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.