J GAVIN GONZALEZ MD
NPI 1427027408
Otolaryngology in Mesa, AZ

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
69.24/100
CMS Quality Rating
4140 E BASELINE RD, STE 211, MESA, AZ 85206(480) 273-8680(480) 306-7683 Get Directions Write a Review

NPPES record last updated: July 12, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About J Gavin Gonzalez Md NPPES

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

J GAVIN GONZALEZ MD (NPI 1427027408) is an individual otolaryngology provider in Mesa, Arizona, licensed in Arizona (26245) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (1993).

NPPES Registry Identity

NPI1427027408
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJ GAVIN GONZALEZCredential: MD
Location Address4140 E BASELINE RD, STE 211Mesa, AZ 85206
Mailing Address4140 E Baseline Rd, Ste 211Mesa, AZ 85206 · (480) 273-8680 · Fax (480) 306-7683
Fax(480) 306-7683
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1993
Enumeration DateMarch 14, 2006
Last NPPES UpdateJuly 12, 2012
NPI 1427027408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in AZ · 26245
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

4140 E BASELINE RD, Mesa, AZ 85206

Other Identifiers 3

Medicare UPING69091
Other26245AZ · Az Medical Board
Medicare ID-Type Unspecified22968Wdbnk

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

J Gavin Gonzalez 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 ID9830186212
PECOS Enrollment IDI20040428000160
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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
294 services182 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
80 services57 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
71 services53 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
70 services40 patients
New patient office or other outpatient visit, 30-44 minutes 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.
31 services31 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

69.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability99
Improvement Activities40
Cost28.43

Reported Quality Measures

Acute Otitis Externa (AOE): Topical Therapy
Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations
100%28 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,353 patients5/55-star benchmark: 100%
Patient-Centered Surgical Risk Assessment and Communication
Percentage of patients who underwent a non-emergency surgery who had their personalized risks of postoperative complications assessed by their surgical team prior to surgery using a clinical data-based, patient-specific risk calculator and who received…
100%84 patients5/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
95%525 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 certified EHR technology to the patient (or the patient-authorized representative), or in…
1%525 patients1/55-star benchmark: 77%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
100%40 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims11 services$25.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Naturopath
4140 E BASELINE RD, SUITE 110
MESA, AZ 85206
Durable Medical Equipment & Medical Supplies
4140 E BASELINE RD
MESA, AZ 85206
Audiologist-Hearing Aid Fitter
4140 E BASELINE RD, SUITE 211
MESA, AZ 85206
Audiologist-Hearing Aid Fitter
4140 E BASELINE RD, SUITE 211
MESA, AZ 85206
Naturopath
4140 E BASELINE RD, #110
MESA, AZ 85206
Otolaryngology
4140 E BASELINE RD, SUITE 211
MESA, AZ 85206
Preventive Medicine (Public Health & General Preventive Medicine)
4140 E BASELINE RD, #110
MESA, AZ 85206
Audiologist
4140 E BASELINE RD, SUITE 211
MESA, AZ 85206

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427027408, enumerated as an "individual" on March 14, 2006.

The provider is located at 4140 E BASELINE RD STE 211 MESA, AZ 85206 and the phone number is (480) 273-8680.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona,. Please consult your insurance carrier or call the provider to verify.