DR. CARLOS M. GADEA M.D.
NPI 1417141763
Internal Medicine - Rheumatology in Montgomery, AL

Q: What is Carlos Gadea's NPI number?

The NPI number for Carlos Gadea is 1417141763. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Q: What is Carlos Gadea's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Gadea was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 29, 2007PECOS EnrolledAccepts Medicare Assignment

80.87/100

CMS Quality Rating

2119 E SOUTH BLVD, SUITE 100, MONTGOMERY, AL 36116(334) 613-7070(334) 613-7072 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 11, 2023, Dec 28, 2016 (2 updates tracked since 2016).

On this page

About Dr. Carlos M. Gadea M.d. NPPES

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

DR. CARLOS M. GADEA M.D. (NPI 1417141763) is an individual rheumatology provider in Montgomery, Alabama, licensed in Alabama (35325) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1417141763

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameDR. CARLOS M. GADEACredential: M.D.

Location Address2119 E SOUTH BLVD, SUITE 100Montgomery, AL 36116-2454

Mailing Address301 Brown Springs RdMontgomery, AL 36117-7005 · (334) 747-4159

Phone(334) 613-7070

Fax(334) 613-7072

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateAugust 29, 2007

Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2023

✔ NPI 1417141763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in AL · 35325

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

2119 E SOUTH BLVD, Montgomery, AL 36116

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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

Dr. Carlos M. Gadea 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 ID9739344300

PECOS Enrollment IDI20170208000201

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 2

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.

325 services200 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.

43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36116 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

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.

80.87/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.7

Promoting Interoperability

100

Improvement Activities

Cost

59.55

Reported Quality Measures

e-Prescribing

94%693 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

86%643 patients4/55-star benchmark: 100%

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 5

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

DR. MANISHA GARG MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2119 E SOUTH BLVD, SUITE 200
MONTGOMERY, AL 36116

Montgomery County (334) 613-7070

DR. SUNDIP S PATEL D.O.

Urology

2119 E SOUTH BLVD, SUITE 200
MONTGOMERY, AL 36116

Montgomery County (334) 613-7070

JAMES PATRICK ALLEN DPT

Physical Therapist

2119 E SOUTH BLVD, SUITE 200
MONTGOMERY, AL 36116

Montgomery County (334) 613-9056

WHITNEY MARIE ANGELO RN9622918

Registered Nurse

2119 E SOUTH BLVD
MONTGOMERY, AL 36116

Montgomery County (334) 747-7070

JASON SEAHORN DPT

Physical Therapist

2119 E SOUTH BLVD, SUITE 200
MONTGOMERY, AL 36116

Montgomery County (334) 613-9056

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 Carlos Gadea's NPI number?

The NPI number for Carlos Gadea is 1417141763. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Where is Carlos Gadea located?

Carlos Gadea practices at 2119 E South Blvd Suite 100, Montgomery, AL 36116. The listed phone number is (334) 613-7070.

What is Carlos Gadea's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Carlos Gadea enrolled in Medicare?

Yes. Carlos Gadea 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 Carlos Gadea accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Carlos Gadea 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 Carlos Gadea was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.