WILLY GONZALEZ
NPI 1629516547
Family Medicine - Sports Medicine in Tarrytown, NY

Q: What is Willy Gonzalez's NPI number?

The NPI number for Willy Gonzalez is 1629516547. It was assigned to this individual provider in the NPPES registry on February 11, 2017.

Q: What is Willy Gonzalez's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Willy Gonzalez was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 11, 2017PECOS Enrolled

200 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591(888) 636-7840(267) 479-1321 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 19, 2024, Feb 19, 2021, Dec 31, 2018 and 1 more (4 updates tracked since 2017).

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About Willy Gonzalez NPPES

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

WILLY GONZALEZ (NPI 1629516547) is an individual sports medicine provider in Tarrytown, New York, licensed in New York (316950) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with Phelps Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1629516547

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameWILLY GONZALEZ

Location Address200 WHITE PLAINS RD FL 4Tarrytown, NY 10591-5838

Mailing Address833 Chestnut St Ste 520Philadelphia, PA 19107-4430 · (609) 677-7003

Phone(888) 636-7840

Fax(267) 479-1321

Sole ProprietorYes

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2017

Enumeration DateFebruary 11, 2017

Last NPPES UpdateApril 19, 20244 updates tracked since enumeration

NPPES CertifiedApril 19, 2024

✔ NPI 1629516547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Licenses✔ Licensed in NY · 316950✔ Licensed in NJ · 25MB11472800

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

200 WHITE PLAINS RD FL 4, Tarrytown, NY 10591

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willy Gonzalez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395081657

PECOS Enrollment IDI20220718000619

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.

Medicare Billing Reassignments

Medicare enrollment records show Willy Gonzalez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rothman Orthopaedics Of New York, PLLC

0.7 mi

Orthopaedic Surgery

658 WHITE PLAINS ROAD
Tarrytown, NY 10591

Reassigned Medicare billing, New York enrollment
23 clinicians in this Medicare group

NPI 1922501246 (800) 321-9999

Valley Health Partners Community Health Center

69 mi

Federally Qualified Health Center (FQHC)

500 PLAZA CT
East Stroudsburg, PA 18301

Reassigned Medicare billing, Pennsylvania enrollment
296 clinicians in this Medicare group

NPI 1689409419 (570) 476-3585

New York University

1,062 mi

Cardiovascular Disease

3301 QUANTUM BLVD
Boynton Beach, FL 33426

Reassigned Medicare billing, New York enrollment
7,712 clinicians in this Medicare group

NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329

Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.

1,175 services11 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

552 services100 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.

139 services94 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.

117 services83 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.

100 services100 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

99 services60 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

81 services67 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

63 services48 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.

50 services50 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

43 services32 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

34 services34 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

22 services17 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

18 services14 patients

Hospital Affiliations CMS Care Compare

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

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330261

Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10591 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Other Providers at the Same Location NPPES 5

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

KATHERINE MAY PETERSON DPT

Physical Therapist