1. Home
  2. Directory
  3. Ohio
  4. Lagrange
  5. Family Medicine
  6. NPI Profile

GUSTAVO GOMEZ M.D.
NPI 1699031088
Family Medicine in Lagrange, OH

Active since April 10, 2012PECOS EnrolledAccepts Medicare Assignment
105 OPPORTUNITY WAY, LAGRANGE, OH 44050(440) 222-4160(440) 355-4213 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gustavo Gomez M.d. NPPES

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

GUSTAVO GOMEZ M.D. (NPI 1699031088) is an individual family medicine provider in Lagrange, Ohio, licensed in Ohio (35.128395) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Mercy Regional Medical Center, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2012).

NPPES Registry Identity

NPI1699031088
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGUSTAVO GOMEZCredential: M.D.
Location Address105 OPPORTUNITY WAYLagrange, OH 44050-9018
Mailing Address1957 Cooper Foster Park RdAmherst, OH 44001-1207 · (440) 989-3801
Phone(440) 222-4160
Fax(440) 355-4213
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2012
Enumeration DateApril 10, 2012
Last NPPES UpdateNovember 29, 2016
✔ NPI 1699031088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.128395
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
105 OPPORTUNITY WAY, Lagrange, OH 44050
Open in Google Maps ↗

Other Identifiers 1

Medicaid0179466OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Gustavo Gomez M.d. 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 ID3173759974
PECOS Enrollment IDI20160920000510
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 2

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

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360172
Location3700 Kolbe RoadLorain, OH 44053 · Lorain County
Emergency services Birthing friendly

Mercy Allen Hospital

Critical Access Hospitals · Oberlin, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361306
Location200 West Lorain StreetOberlin, OH 44074 · Lorain County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44050 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 15

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers39 claims87 services$5.34 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers15 claims15 services$1.00 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers11 claims32 services$32.18 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers13 claims71 services$2.03 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims341 services$4.26 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims4,455 services$0.27 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 2

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

MERCY HEALTH-ALLEN HOSPITAL LLC
Clinic/Center (Rural Health)
105 OPPORTUNITY WAY
LAGRANGE, OH 44050
Lorain County (440) 355-4206
MELIA STRODTBECK
Physician Assistant
105 OPPORTUNITY WAY
LAGRANGE, OH 44050
Lorain County (440) 222-4160

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 Gustavo Gomez's NPI number?

The NPI number for Gustavo Gomez is 1699031088. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Gustavo Gomez located?

Gustavo Gomez practices at 105 Opportunity Way, Lagrange, OH 44050. The listed phone number is (440) 222-4160.

What is Gustavo Gomez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gustavo Gomez enrolled in Medicare?

Yes. Gustavo 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 Gustavo Gomez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Gustavo 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 Gustavo Gomez affiliated with any hospitals?

According to CMS data, Gustavo Gomez is affiliated with Mercy Regional Medical Center and Mercy Allen Hospital.

When was this NPI record last updated?

The NPPES record for Gustavo Gomez was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.