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RONALD GONZALES JR. M.D.
NPI 1841274909
Family Medicine in Saint Charles, MI

Active since December 02, 2005PECOS EnrolledAccepts Medicare Assignment
1124 N SAGINAW ST, SAINT CHARLES, MI 48655(989) 865-8270(989) 865-8582 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ronald Gonzales Jr. M.d. NPPES

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

RONALD GONZALES JR. M.D. (NPI 1841274909) is an individual family medicine provider in Saint Charles, Michigan, licensed in Michigan (430107548) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Michigan State University College Of Human Medicine (1997).

NPPES Registry Identity

NPI1841274909
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRONALD GONZALES JR.Credential: M.D.
Location Address1124 N SAGINAW STSaint Charles, MI 48655-1021
Mailing Address1124 N Saginaw StSaint Charles, MI 48655-1021 · (989) 865-8270 · Fax (989) 865-8582
Phone(989) 865-8270
Fax(989) 865-8582
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 1997
Enumeration DateDecember 2, 2005
Last NPPES UpdateMarch 30, 2021
NPPES CertifiedMarch 30, 2021
✔ NPI 1841274909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 430107548
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.
1124 N SAGINAW ST, Saint Charles, MI 48655
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Other Identifiers 1

Medicaid4585811MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Ronald Gonzales Jr. 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 ID3678563160
PECOS Enrollment IDI20040518000462
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 4

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 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.
84 services50 patients
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.
75 services48 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48655 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%271 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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
6 suppliers23 claims70 services$6.07 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$910.06 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims630 services$0.09 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers22 claims22 services$21.29 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.

RONALD L GONZALES MD PLLC
Family Medicine
1124 N SAGINAW ST
SAINT CHARLES, MI 48655
Saginaw County (989) 865-8270
JULIE ANN MARTIN NP
Nurse Practitioner (Family)
1124 N SAGINAW ST
SAINT CHARLES, MI 48655
Saginaw County (989) 865-8270

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 Ronald Gonzales's NPI number?

The NPI number for Ronald Gonzales is 1841274909. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Ronald Gonzales located?

Ronald Gonzales practices at 1124 N Saginaw St, Saint Charles, MI 48655. The listed phone number is (989) 865-8270.

What is Ronald Gonzales's specialty?

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

Is Ronald Gonzales enrolled in Medicare?

Yes. Ronald 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 Ronald Gonzales accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Ronald 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.

Is Ronald Gonzales affiliated with any hospitals?

According to CMS data, Ronald Gonzales is affiliated with Covenant Medical Center.

When was this NPI record last updated?

The NPPES record for Ronald Gonzales was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.