CARLOS EDUARDO GOMEZ-MUSTAFA
NPI 1538796107
Hospitalist in Sacramento, CA

Q: What is Carlos Gomez-mustafa's NPI number?

The NPI number for Carlos Gomez-mustafa is 1538796107. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Q: What is Carlos Gomez-mustafa's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment

85.54/100

CMS Quality Rating

4150 V ST # 1100, SACRAMENTO, CA 95817(916) 734-2737(916) 734-7074 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2023, Mar 25, 2020 (2 updates tracked since 2020).

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About Carlos Eduardo Gomez-mustafa NPPES

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

CARLOS EDUARDO GOMEZ-MUSTAFA (NPI 1538796107) is an individual hospitalist provider in Sacramento, California, licensed in California (A179745) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2020).

NPPES Registry Identity

NPI1538796107

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameCARLOS EDUARDO GOMEZ-MUSTAFA

Location Address4150 V ST # 1100Sacramento, CA 95817-1460

Mailing Address2315 Stockton BlvdSacramento, CA 95817-2201 · (916) 734-7080 · Fax (916) 734-7074

Phone(916) 734-2737

Fax(916) 734-7074

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2020

Enumeration DateMarch 24, 2020

Last NPPES UpdateJuly 19, 20232 updates tracked since enumeration

NPPES CertifiedJuly 19, 2023

✔ NPI 1538796107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in CA · A179745

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

4150 V ST # 1100, Sacramento, CA 95817

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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

Carlos Eduardo Gomez-mustafa 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 ID2264836451

PECOS Enrollment IDI20230726001402

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 4

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 moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

152 services68 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.

69 services35 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.

58 services55 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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.

85.54/100

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

Scored as part of a group practice

Quality

67.15

Promoting Interoperability

Improvement Activities

Cost

53.82

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.

DANIELLE ZEZOFF

Internal Medicine