1. Home
  2. Directory
  3. Kentucky
  4. Lexington
  5. Dentist
  6. NPI Profile

DR. OCTAVIO ALBERTO GONZALEZ D.D.S., PHD.
NPI 1578835500
Dentist - General Practice in Lexington, KY

Active since February 07, 2012PECOS Enrolled
800 ROSE STREET, ROOM D104, LEXINGTON, KY 40536(859) 323-1345(859) 257-5859 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Octavio Alberto Gonzalez D.d.s., Phd. NPPES

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

DR. OCTAVIO ALBERTO GONZALEZ D.D.S., PHD. (NPI 1578835500) is an individual general practice provider in Lexington, Kentucky, licensed in Kentucky (9139) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578835500
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. OCTAVIO ALBERTO GONZALEZCredential: D.D.S., PHD.
Location Address800 ROSE STREET, ROOM D104Lexington, KY 40536-0297
Mailing Address1095 Va Health Sciences Research Building, Room 414Lexington, KY 40536-0305 · (859) 323-0125 · Fax (859) 257-6566
Phone(859) 323-1345
Fax(859) 257-5859
Sole ProprietorNo
Enumeration DateFebruary 7, 2012
✔ NPI 1578835500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 9139
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
800 ROSE STREET, Lexington, KY 40536
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 (PECOS)

Dr. Octavio Alberto Gonzalez D.d.s., Phd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

RICHI C GAMBREL CRNA
Nurse Anesthetist, Certified Registered
800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-5000
DR. PAUL BACHNER MD
Pathology (Anatomic Pathology & Clinical Pathology)
800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-5425
JASON STOUSE CRNA, DNP
Nurse Anesthetist, Certified Registered
800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-5956
MICHAEL VOGEL DO
Student in an Organized Health Care Education/Training Program
800 ROSE STREET, ANESTHESIOLOGY N202
LEXINGTON, KY 40536
Fayette County (859) 323-5956
ZHUANG-YAO DANIEL WEI MD
Student in an Organized Health Care Education/Training Program
800 ROSE STREET, MN 275
LEXINGTON, KY 40536
Fayette County (859) 323-6162
PAXTON WADE PEACOCK MD, MBA
Student in an Organized Health Care Education/Training Program
800 ROSE STREET, ANESTHESIOLOGY N202
LEXINGTON, KY 40536
Fayette County (859) 323-5956
DR. EDWARD J ESCOTT MD
Radiology (Neuroradiology)
800 ROSE STREET, ROOM HX-319A
LEXINGTON, KY 40536
Fayette County (859) 323-5070
HAMMAD QURESHI M.D.
Hospitalist
800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-6047

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 Octavio Gonzalez's NPI number?

The NPI number for Octavio Gonzalez is 1578835500. It was assigned to this individual provider in the NPPES registry on February 7, 2012.

Where is Octavio Gonzalez located?

Octavio Gonzalez practices at 800 Rose Street Room D104, Lexington, KY 40536. The listed phone number is (859) 323-1345.

What is Octavio Gonzalez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Octavio Gonzalez enrolled in Medicare?

Yes. Octavio Gonzalez is registered in the Medicare PECOS enrollment system.

What insurance does Octavio Gonzalez accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Octavio 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.

When was this NPI record last updated?

The NPPES record for Octavio Gonzalez was last updated on February 7, 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.