MARGARITA ANN GONZALES PA-C
NPI 1659440949
Physician Assistant - Medical in Edinburg, TX

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
1601 E SPRAGUE ST, EDINBURG, TX 78542(956) 362-8383(956) 362-8382 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2023, Jan 19, 2017 (2 updates tracked since 2017).

About Margarita Ann Gonzales Pa-c NPPES

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

MARGARITA ANN GONZALES PA-C (NPI 1659440949) is an individual medical provider in Edinburg, Texas, licensed in Texas (PA05057) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1659440949
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARGARITA ANN GONZALESCredential: PA-C
Location Address1601 E SPRAGUE STEdinburg, TX 78542-5260
Mailing AddressPo Box 749Pharr, TX 78577-1614 · (956) 362-8383 · Fax (956) 362-8382
Fax(956) 362-8382
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 8, 2006
Last NPPES UpdateMarch 9, 20232 updates tracked since enumeration
NPPES CertifiedMarch 9, 2023
NPI 1659440949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA05057
1601 E SPRAGUE ST, Edinburg, TX 78542

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

Margarita Ann Gonzales Pa-c 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 ID749382471
PECOS Enrollment IDI20070226000755
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 2

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 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.
63 services24 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
39 services21 patients

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.

92.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.45
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers15 claims15 services$185.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
1601 E SPRAGUE ST
EDINBURG, TX 78542
Physician Assistant (Medical)
1601 E SPRAGUE ST
EDINBURG, TX 78542
Physician Assistant
1601 E SPRAGUE ST
EDINBURG, TX 78542
Physician Assistant (Medical)
1601 E SPRAGUE ST
EDINBURG, TX 78542
Physician Assistant
1601 E SPRAGUE ST
EDINBURG, TX 78542
Family Medicine
1601 E SPRAGUE ST
EDINBURG, TX 78542
Family Medicine
1601 E SPRAGUE ST
EDINBURG, TX 78542
Dietitian, Registered
1601 E SPRAGUE ST
EDINBURG, TX 78542

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 Margarita Gonzales's NPI number?

The NPI number for Margarita Gonzales is 1659440949. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Margarita Gonzales located?

Margarita Gonzales practices at 1601 E Sprague St, Edinburg, TX 78542. The listed phone number is (956) 362-8383.

What is Margarita Gonzales's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Margarita Gonzales enrolled in Medicare?

Yes. Margarita 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 Margarita Gonzales 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 3 other insurers list Margarita 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.

When was this NPI record last updated?

The NPPES record for Margarita Gonzales was last updated on March 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.