ANDRE JAYLAN GOMEZ PA
NPI 1659095594
Hospitalist in Oklahoma City, OK

Active since October 03, 2022PECOS EnrolledAccepts Medicare Assignment
71.66/100
CMS Quality Rating
700 NE 13TH ST, OKLAHOMA CITY, OK 73104(405) 271-4700 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2022, Oct 3, 2022 (2 updates tracked since 2022).

About Andre Jaylan Gomez Pa NPPES

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

ANDRE JAYLAN GOMEZ PA (NPI 1659095594) is an individual hospitalist provider in Oklahoma City, Oklahoma, licensed in Oklahoma (PA4953) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1659095594
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameANDRE JAYLAN GOMEZCredential: PA
Location Address700 NE 13TH STOklahoma City, OK 73104-5004
Mailing Address123 Ne 2nd St Apt 311Oklahoma City, OK 73104-2264 · (575) 390-4202
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 3, 2022
Last NPPES UpdateDecember 6, 20222 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
NPI 1659095594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in OK · PA4953
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 4953 (OK)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 4953 (OK)
700 NE 13TH ST, Oklahoma City, OK 73104

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

Andre Jaylan Gomez Pa 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 ID8022486687
PECOS Enrollment IDI20221201002832
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.

Hospital Affiliations CMS Care Compare

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

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.

Physical Therapist
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Ambulance (Land Transport)
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Nurse Practitioner
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Nurse Practitioner (Family)
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Internal Medicine
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Student in an Organized Health Care Education/Training Program
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Nurse Practitioner (Acute Care)
700 NE 13TH ST
OKLAHOMA CITY, OK 73104
Registered Nurse (Critical Care Medicine)
700 NE 13TH ST
OKLAHOMA CITY, OK 73104

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 Andre Gomez's NPI number?

The NPI number for Andre Gomez is 1659095594. It was assigned to this individual provider in the NPPES registry on October 3, 2022.

Where is Andre Gomez located?

Andre Gomez practices at 700 NE 13th St, Oklahoma City, OK 73104. The listed phone number is (405) 271-4700.

What is Andre Gomez's specialty?

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

Is Andre Gomez enrolled in Medicare?

Yes. Andre Gomez 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 Andre Gomez accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list Andre Gomez 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 Andre Gomez affiliated with any hospitals?

According to CMS data, Andre Gomez is affiliated with Integris Baptist Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Andre Gomez was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.