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DR. GONZALO LIEVANO M.D
NPI 1558302976
Urology in Fort Worth, TX

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
1307 8TH AVE, STE 306, FORT WORTH, TX 76104(817) 912-8040(817) 912-8049 Get Directions Write a Review

NPPES record last updated: July 12, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Gonzalo Lievano M.d NPPES

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

DR. GONZALO LIEVANO M.D (NPI 1558302976) is an individual urology provider in Fort Worth, Texas, licensed in Texas (L5024) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Medical Center Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1558302976
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. GONZALO LIEVANOCredential: M.D
Location Address1307 8TH AVE, STE 306Fort Worth, TX 76104
Mailing Address1307 8th Ave, Ste 306Fort Worth, TX 76104 · (817) 912-8040 · Fax (817) 912-8049
Phone(817) 912-8040
Fax(817) 912-8049
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJune 9, 2006
Last NPPES UpdateJuly 12, 2012
✔ NPI 1558302976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in TX · L5024
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1307 8TH AVE, Fort Worth, TX 76104
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Other Identifiers 6

Medicare UPINH01827
Medicare PIN8D8818TX
Medicaid155486702TX
Medicare PIN8D8817TX
Other8S3521TX · Bcbs
Medicaid155486703TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Gonzalo Lievano 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 ID749212892
PECOS Enrollment IDI20050909000077
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.
150 services130 patients
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.
55 services54 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
26 services25 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.
26 services26 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Medical Center Hospital

Acute Care Hospitals · Odessa, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450132
Location500 W 4th StreetOdessa, TX 79761 · Ector County
Emergency services Birthing friendly

Medical City Arlington

Acute Care Hospitals · Arlington, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450675
Location3301 Matlock RoadArlington, TX 76015 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

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.

RICHARD M VIGNESS M. D.
Specialist
1307 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-3320
LYDIA A LUNA M.D., P. A.
Obstetrics & Gynecology
1307 8TH AVE, #602
FORT WORTH, TX 76104
Tarrant County (817) 877-1848
MARY MILAM MD
Internal Medicine (Hematology & Oncology)
1307 8TH AVE, SUITE 205
FORT WORTH, TX 76104
Tarrant County (817) 924-4300
J. JOHN STASIKOWSKI, MD PA
Specialist
1307 8TH AVE, SUITE 202
FORT WORTH, TX 76104
Tarrant County (817) 926-8002
CHARLES G. LANGHAM III, M.D., P.A.
Obstetrics & Gynecology
1307 8TH AVE, 201
FORT WORTH, TX 76104
Tarrant County (817) 921-6091
DR. THOMAS A. LEAVENS M.D.
Psychiatry & Neurology (Neurology)
1307 8TH AVE, #408
FORT WORTH, TX 76104
Tarrant County (817) 921-4191
DR. ARTHUR G GARCIA MD
Specialist
1307 8TH AVE, SUITE 507
FORT WORTH, TX 76104
Tarrant County (817) 924-2216
MARY MILAM, M.D., P.A.
Internal Medicine (Hematology & Oncology)
1307 8TH AVE, SUITE 205
FORT WORTH, TX 76104
Tarrant County (817) 924-4300

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 Gonzalo Lievano's NPI number?

The NPI number for Gonzalo Lievano is 1558302976. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Gonzalo Lievano located?

Gonzalo Lievano practices at 1307 8th Ave Ste 306, Fort Worth, TX 76104. The listed phone number is (817) 912-8040.

What is Gonzalo Lievano's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Gonzalo Lievano enrolled in Medicare?

Yes. Gonzalo Lievano 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 Gonzalo Lievano accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Gonzalo Lievano 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 Gonzalo Lievano affiliated with any hospitals?

According to CMS data, Gonzalo Lievano is affiliated with Medical Center Hospital and Medical City Arlington.

When was this NPI record last updated?

The NPPES record for Gonzalo Lievano was last updated on July 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.