MICHAEL R GONZALES MD
NPI 1609810175
Internal Medicine - Cardiovascular Disease in San Antonio, TX

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1100 MCCULLOUGH AVE, SUITE 300, SAN ANTONIO, TX 78212(210) 271-3204(210) 222-2761 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael R Gonzales Md NPPES

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

MICHAEL R GONZALES MD (NPI 1609810175) is an individual cardiovascular disease provider in San Antonio, Texas, licensed in Texas (M4101) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (2000).

NPPES Registry Identity

NPI1609810175
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMICHAEL R GONZALESCredential: MD
Location Address1100 MCCULLOUGH AVE, SUITE 300San Antonio, TX 78212-4813
Mailing Address1100 Mccullough Ave, Suite 300San Antonio, TX 78212-4813 · (210) 271-3204 · Fax (210) 222-2761
Fax(210) 222-2761
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2000
Enumeration DateJune 15, 2006
Last NPPES UpdateFebruary 10, 2022
NPI 1609810175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · M4101
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1100 MCCULLOUGH AVE, San Antonio, TX 78212

Other Identifiers 5

Other8CU331TX · Bcbs
OtherP00948200TX · Railroad
OtherP00325412TX · Railroad Medicare
Other8V3734TX · Bcbs
Medicaid181381803TX

Accepted 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

Michael R Gonzales Md 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 ID4981607629
PECOS Enrollment IDI20060817000468
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 18

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
538 services364 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.
482 services279 patients
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.
158 services137 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
139 services72 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
66 services66 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.
66 services45 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78212 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
29%446 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%4,030 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%1,343 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
85%2,203 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 1,400 patients
Patients screened: 100% · 1,400 patients
75%100 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%1,304 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,396 patients
Patients totalRate: 0% · 1,396 patients
0%1,396 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 6

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

Internal Medicine (Cardiovascular Disease)
1100 MCCULLOUGH AVE, SUITE 300
SAN ANTONIO, TX 78212
Internal Medicine (Cardiovascular Disease)
1100 MCCULLOUGH AVE, SUITE 300
SAN ANTONIO, TX 78212
Internal Medicine (Clinical Cardiac Electrophysiology)
1100 MCCULLOUGH AVE, SUITE 300
SAN ANTONIO, TX 78212
Internal Medicine (Cardiovascular Disease)
1100 MCCULLOUGH AVE, SUITE 300
SAN ANTONIO, TX 78212
Internal Medicine (Interventional Cardiology)
1100 MCCULLOUGH AVE, SUITE 300
SAN ANTONIO, TX 78212
Internal Medicine (Clinical Cardiac Electrophysiology)
1100 MCCULLOUGH AVE, SUITE 300
SAN ANTONIO, TX 78212

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 Michael Gonzales's NPI number?

The NPI number for Michael Gonzales is 1609810175. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Michael Gonzales located?

Michael Gonzales practices at 1100 Mccullough Ave Suite 300, San Antonio, TX 78212. The listed phone number is (210) 271-3204.

What is Michael Gonzales's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Michael Gonzales enrolled in Medicare?

Yes. Michael Gonzales 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 Michael Gonzales accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Michael Gonzales 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 Michael Gonzales affiliated with any hospitals?

According to CMS data, Michael Gonzales is affiliated with Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Michael Gonzales was last updated on February 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.