MR. JIMMY GAMEZ GONZALES MD
NPI 1740506385
Family Medicine - Sports Medicine in Edinburg, TX

Q: What is Jimmy Gonzales's NPI number?

The NPI number for Jimmy Gonzales is 1740506385. It was assigned to this individual provider in the NPPES registry on April 7, 2010.

Q: What is Jimmy Gonzales'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 Jimmy Gonzales was last updated on September 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 07, 2010PECOS EnrolledAccepts Medicare Assignment

81.44/100

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: September 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2025, May 9, 2016, Dec 11, 2015 (3 updates tracked since 2015).

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About Mr. Jimmy Gamez Gonzales Md NPPES

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

MR. JIMMY GAMEZ GONZALES MD (NPI 1740506385) is an individual sports medicine provider in Edinburg, Texas, licensed in Texas (P3159) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2010).

NPPES Registry Identity

NPI1740506385

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameMR. JIMMY GAMEZ GONZALESCredential: MD

Location Address1601 E SPRAGUE STEdinburg, TX 78542-5260

Mailing AddressPo Box 4624Mcallen, TX 78502-4624 · (956) 362-8383 · Fax (956) 362-8382

Phone(956) 362-8383

Fax(956) 362-8382

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2010

Enumeration DateApril 7, 2010

Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2025

✔ NPI 1740506385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in TX · P3159

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1601 E SPRAGUE ST, Edinburg, TX 78542

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Other Identifiers 2

Medicaid313174003TX

Other313174004TX · Medicaid Cshcn Program

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.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

Mr. Jimmy Gamez Gonzales Md 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 ID8426293739

PECOS Enrollment IDI20130314000103

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 5

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

36 services14 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.

22 services15 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.

17 services14 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.

14 services12 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.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78542 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

81.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

65.83

Promoting Interoperability

Improvement Activities

Cost

49.23

Reported Quality Measures

Breast Cancer Screening

11%156 patients1/55-star benchmark: 93%

Cervical Cancer Screening

18%272 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

29%41 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

9%357 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

12%182 patients1/55-star benchmark: 91%

Diabetes: Eye Exam

6%146 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

88%146 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

42%1,051 patients1/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

6%109 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

19%737 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

14%668 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

17%1,011 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 22% · 668 patients

22%668 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

40%140 patients1/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 119 patients

Patients totalRate: 4% · 121 patients

4%121 patients4/55-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.

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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.

MRS. IRASEMA GONZALEZ FNP-BC

Nurse Practitioner (Family)