JUAN PABLO GOMEZ MD
NPI 1760942015
Internal Medicine in Spartanburg, SC

Q: What is Juan Gomez's NPI number?

The NPI number for Juan Gomez is 1760942015. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Q: What is Juan Gomez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Juan Gomez was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 22, 2019PECOS EnrolledAccepts Medicare Assignment

96.08/100

CMS Quality Rating

101 E WOOD ST, SPARTANBURG, SC 29303(864) 560-6000 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 19, 2022, Mar 22, 2019 (2 updates tracked since 2019).

On this page

About Juan Pablo Gomez Md NPPES

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

JUAN PABLO GOMEZ MD (NPI 1760942015) is an individual internal medicine provider in Spartanburg, South Carolina, licensed in South Carolina (88096) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1760942015

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJUAN PABLO GOMEZCredential: MD

Location Address101 E WOOD STSpartanburg, SC 29303-3040

Mailing Address201 N Liberty StSpartanburg, SC 29302-1103 · (704) 839-1816

Phone(864) 560-6000

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 22, 2019

Last NPPES UpdateJuly 19, 20222 updates tracked since enumeration

NPPES CertifiedJuly 19, 2022

✔ NPI 1760942015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in SC · 88096

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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

101 E WOOD ST, Spartanburg, SC 29303

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next 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

Juan Pablo Gomez 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 ID9537541560

PECOS Enrollment IDI20220808000289, I20260415002809

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 6

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

185 services79 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

172 services111 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

105 services95 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

60 services59 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

53 services52 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

49 services49 patients

Hospital Affiliations CMS Care Compare 3

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

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340091

Location1200 N Elm StGreensboro, NC 27401 · Guilford County

Emergency services Birthing friendly

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420043

Location1530 N Limestone StGaffney, SC 29340 · Cherokee County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

96.08/100

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

Scored through an Alternative Payment Model

Quality

92.17

Promoting Interoperability

100

Improvement Activities

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.

DR. TONDRE BUCK M.D.

Internal Medicine (Hematology & Oncology)

101 E WOOD ST
SPARTANBURG, SC 29303

Spartanburg County (864) 560-7050

ADAM KEITH RAYNES

Nurse Anesthetist, Certified Registered

101 E WOOD ST
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6000

RAJAN BHATT

Student in an Organized Health Care Education/Training Program

101 E WOOD ST
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6285

NICHOLE TACKETT DO

Surgery

101 E WOOD ST
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6285

PATRICIA C. GRIFFIN MD

Radiology (Radiation Oncology)

101 E WOOD ST
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6917

DR. VIKAS DEMBLA M.D.

Internal Medicine (Hematology & Oncology)

101 E WOOD ST
SPARTANBURG, SC 29303

Spartanburg County (864) 560-7050

DR. ANDREW OMOIT EKATAN M.D.

Internal Medicine

101 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6654

STETSON REED BICKLEY M.D.

Radiology (Diagnostic Radiology)

101 E WOOD ST
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6522

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 Juan Gomez's NPI number?

The NPI number for Juan Gomez is 1760942015. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Juan Gomez located?

Juan Gomez practices at 101 E Wood St, Spartanburg, SC 29303. The listed phone number is (864) 560-6000.

What is Juan Gomez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Juan Gomez enrolled in Medicare?

Yes. Juan 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 Juan Gomez accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and Molina Healthcare list Juan 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 Juan Gomez affiliated with any hospitals?

According to CMS data, Juan Gomez is affiliated with Moses H. Cone Memorial Hospital, The, Spartanburg Medical Center and Cherokee Medical Center.

When was this NPI record last updated?

The NPPES record for Juan Gomez was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.