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DR. GUSTAVO JESUS ALMODOVAR-MERCADO M.D.
NPI 1447480918
Otolaryngology in Mayaguez, PR

Active since July 19, 2009PECOS EnrolledAccepts Medicare Assignment
55 CALLE DE DIEGO E STE 205, MAYAGUEZ, PR 00680(787) 986-7300(787) 986-7302 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 10, 2023, Oct 17, 2016, Jul 15, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Gustavo Jesus Almodovar-mercado M.d. NPPES

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

DR. GUSTAVO JESUS ALMODOVAR-MERCADO M.D. (NPI 1447480918) is an individual otolaryngology provider in Mayaguez, Puerto Rico, licensed in Puerto Rico (19245) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (2009).

NPPES Registry Identity

NPI1447480918
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. GUSTAVO JESUS ALMODOVAR-MERCADOCredential: M.D.
Location Address55 CALLE DE DIEGO E STE 205Mayaguez, PR 00680-5080
Mailing Address1202 Calle Bartolo RiveraMayaguez, PR 00682-7757 · (787) 454-1350
Phone(787) 986-7300
Fax(787) 986-7302
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2009
Enumeration DateJuly 19, 2009
Last NPPES UpdateJanuary 10, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
✔ NPI 1447480918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in PR · 19245✔ Licensed in NY · 279464
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.

Other Names 1

Professional Name (2)Gustavo J Almodovar Mercado M.d.

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. Gustavo Jesus Almodovar-mercado 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 ID1557666138
PECOS Enrollment IDI20160218001962
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 5

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.
61 services41 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.
42 services32 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.
28 services28 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.
21 services17 patients
Diagnostic exam of voice box using an endoscope 31525
This procedure involves the use of a thin, flexible instrument called an endoscope to examine the voice box. The endoscope is gently inserted through the nose or mouth to provide a clear view of the voice box. It helps in diagnosing issues related to speech, breathing, or swallowing.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00680 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
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

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…
100%36 patients5/55-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

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

EDGAR FERNANDO DEL TORO DIEZ
Otolaryngology (Facial Plastic Surgery)
55 CALLE DE DIEGO E STE 205
MAYAGUEZ, PR 00680
Mayagüez Municipio (787) 986-7300

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 Gustavo Almodovar-mercado's NPI number?

The NPI number for Gustavo Almodovar-mercado is 1447480918. It was assigned to this individual provider in the NPPES registry on July 19, 2009. The provider is also known as Gustavo J Almodovar Mercado M.D..

Where is Gustavo Almodovar-mercado located?

Gustavo Almodovar-mercado practices at 55 Calle De Diego E Ste 205, Mayaguez, PR 00680. The listed phone number is (787) 986-7300.

What is Gustavo Almodovar-mercado's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Gustavo Almodovar-mercado enrolled in Medicare?

Yes. Gustavo Almodovar-mercado 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.

When was this NPI record last updated?

The NPPES record for Gustavo Almodovar-mercado was last updated on January 10, 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.