DR. MARIA LOURDES GARCIA GONZALEZ M.D., PHD
NPI 1740493055
Ophthalmology in Norfolk, VA

Active since May 07, 2007PECOS EnrolledAccepts Medicare Assignment
84.43/100
CMS Quality Rating
6315 N CENTER DR STE 230, NORFOLK, VA 23502(757) 461-7974 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Maria Lourdes Garcia Gonzalez M.d., Phd NPPES

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

DR. MARIA LOURDES GARCIA GONZALEZ M.D., PHD (NPI 1740493055) is an individual ophthalmology provider in Norfolk, Virginia, licensed in Virginia (0101241378) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1740493055
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARIA LOURDES GARCIA GONZALEZCredential: M.D., PHD
Location Address6315 N CENTER DR STE 230Norfolk, VA 23502-4006
Mailing Address1464 Mount Pleasant Rd, Unit 16 Suite 309Chesapeake, VA 23322-4043 · (757) 880-8969 · Fax (757) 428-0514
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMay 7, 2007
Last NPPES UpdateOctober 26, 2021
NPPES CertifiedOctober 26, 2021
NPI 1740493055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in VA · 0101241378
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

6315 N CENTER DR STE 230, Norfolk, VA 23502

Other Identifiers 8

Other003144Anthem
Other1740493055Anthem
Other10036017Optima
Other54-0881234Cigna
OtherCO1526Medicare
Other1740493055Medicaid
OtherCB9359Medicare Railroad Ptan
Other023529Anthem Bcbs

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

Dr. Maria Lourdes Garcia Gonzalez M.d., Phd 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 ID2163597253
PECOS Enrollment IDI20080825000626
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 16

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, 20-29 minutes 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.
350 services244 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
265 services261 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
158 services137 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
100 services93 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
99 services84 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
96 services80 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23502 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

84.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost48.12

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%67 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.

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 Maria Garcia Gonzalez's NPI number?

The NPI number for Maria Garcia Gonzalez is 1740493055. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Maria Garcia Gonzalez located?

Maria Garcia Gonzalez practices at 6315 N Center Dr Ste 230, Norfolk, VA 23502. The listed phone number is (757) 461-7974.

What is Maria Garcia Gonzalez's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Maria Garcia Gonzalez enrolled in Medicare?

Yes. Maria Garcia Gonzalez 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 Maria Garcia Gonzalez accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Maria Garcia Gonzalez 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 Maria Garcia Gonzalez was last updated on October 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.