1. Home
  2. Directory
  3. Massachusetts
  4. Clinton
  5. Psychiatry Neurology
  6. NPI Profile

SCOTT H. GONZALEZ M.D.
NPI 1477532224
Psychiatry & Neurology - Psychiatry in Clinton, MA

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
201 HIGHLAND ST, CLINTON, MA 01510(978) 368-3799(978) 368-3877 Get Directions Write a Review

NPPES record last updated: November 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2020, Mar 17, 2018, Dec 13, 2017 and 1 more (4 updates tracked since 2017).

About Scott H. Gonzalez M.d. NPPES

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

SCOTT H. GONZALEZ M.D. (NPI 1477532224) is an individual psychiatry provider in Clinton, Massachusetts, licensed in Massachusetts (74550) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1477532224
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSCOTT H. GONZALEZCredential: M.D.
Location Address201 HIGHLAND STClinton, MA 01510-1037
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(978) 368-3799
Fax(978) 368-3877
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1990
Enumeration DateJanuary 11, 2006
Last NPPES UpdateNovember 22, 20204 updates tracked since enumeration
NPPES CertifiedNovember 22, 2020
✔ NPI 1477532224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MA · 74550
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
201 HIGHLAND ST, Clinton, MA 01510
Open in Google Maps ↗

Secondary Practice Location 1

Location 172 Jacques AveWorcester, MA 01610-2476 · Phone (508) 860-1154

Other Identifiers 2

Medicaid110054476AMA
OtherJ1462201MA · Medicare

Accepted Insurance

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

Scott H. Gonzalez 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 ID8729054333
PECOS Enrollment IDI20040904000084
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 6

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
849 services82 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
280 services65 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
46 services46 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
28 services28 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
22 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01510 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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

RONALD G LAVENDA DPM ASSOCIATES PC
Podiatrist (Foot Surgery)
201 HIGHLAND ST, SUITE C CLINTON HOSPITAL
CLINTON, MA 01510
Worcester County (978) 368-3990
RONALD G. LAVENDA DPM
Podiatrist (Foot Surgery)
201 HIGHLAND ST, SUITE C CLINTON HOSPITAL
CLINTON, MA 01510
Worcester County (978) 368-3990
GENE FRANCIS DUNGO DEL ROSARIO MD
Internal Medicine
201 HIGHLAND ST, SUITE 2
CLINTON, MA 01510
Worcester County (978) 368-3870
CLINTON MEDICAL ASSOCIATES LLC
Internal Medicine
201 HIGHLAND ST
CLINTON, MA 01510
Worcester County (978) 368-3707
DR. PETER D OLDAK M.D.
Emergency Medicine
201 HIGHLAND ST, DEPARTMENT OF EMERGENCY MEDICINE
CLINTON, MA 01510
Worcester County (978) 368-3000
MRS. LAURA JOAN CERUNDOLO MS, RD, LDN
Dietitian, Registered
201 HIGHLAND ST
CLINTON, MA 01510
Worcester County (978) 368-3000
DANIELA WINSTON M.D.
Internal Medicine
201 HIGHLAND ST
CLINTON, MA 01510
Worcester County (978) 368-3905
KRISTIN ANNA MIKKELSEN CNP
Nurse Practitioner (Psychiatric/Mental Health)
201 HIGHLAND ST
CLINTON, MA 01510
Worcester County (978) 368-3000

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 Scott Gonzalez's NPI number?

The NPI number for Scott Gonzalez is 1477532224. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Scott Gonzalez located?

Scott Gonzalez practices at 201 Highland St, Clinton, MA 01510. The listed phone number is (978) 368-3799.

What is Scott Gonzalez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Scott Gonzalez enrolled in Medicare?

Yes. Scott 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 Scott Gonzalez accept?

Health plans from Anthem Blue Cross and Blue Shield list Scott 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 Scott Gonzalez affiliated with any hospitals?

According to CMS data, Scott Gonzalez is affiliated with Umass Memorial Healthalliance Hospitals.

When was this NPI record last updated?

The NPPES record for Scott Gonzalez was last updated on November 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.