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DR. JOHN WINSTON DONATO GONZALEZ M.D.
NPI 1851471163
Psychiatry & Neurology - Psychiatry in Terre Haute, IN

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
501 E HOSPITAL LN, SUITE 104, TERRE HAUTE, IN 47802(812) 232-5518(812) 235-8908 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Winston Donato Gonzalez M.d. NPPES

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

DR. JOHN WINSTON DONATO GONZALEZ M.D. (NPI 1851471163) is an individual psychiatry provider in Terre Haute, Indiana, licensed in Indiana (01045263) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Inc, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1851471163
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JOHN WINSTON DONATO GONZALEZCredential: M.D.
Location Address501 E HOSPITAL LN, SUITE 104Terre Haute, IN 47802-4230
Mailing Address501 E Hospital Ln, Suite 104Terre Haute, IN 47802-4230 · (812) 232-5518 · Fax (812) 235-8908
Phone(812) 232-5518
Fax(812) 235-8908
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 17, 2006
Last NPPES UpdateApril 9, 2024
NPPES CertifiedApril 9, 2024
✔ NPI 1851471163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in IN · 01045263✔ Licensed in IN · 01052463A
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
501 E HOSPITAL LN, Terre Haute, IN 47802
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Other Identifiers 1

Medicaid200289950IN

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

Dr. John Winston Donato Gonzalez 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 ID6305925504
PECOS Enrollment IDI20080429000709
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.

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.
469 services175 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.
132 services92 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
47 services20 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
31 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47802 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%3,190 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%24 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
60%898 patients3/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
87%808 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
98%898 patients5/55-star benchmark: 59%
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.

Other Providers at the Same Location NPPES 7

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

MRS. REBECCA LYNN SKIVER PA-C
Physician Assistant
501 E HOSPITAL LN, SUITE 101
TERRE HAUTE, IN 47802
Vigo County (812) 234-0707
DR. ROBERT A CHUA M.D.
Internal Medicine
501 E HOSPITAL LN, ROOM 104
TERRE HAUTE, IN 47802
Vigo County (812) 232-5518
ROBERT A. CHUA, MD INC
Internal Medicine
501 E HOSPITAL LN, SUITE 103
TERRE HAUTE, IN 47802
Vigo County (812) 234-0293
MADSEN ORTHOPEDICS AND SPINE, PSC
Orthopaedic Surgery
501 E HOSPITAL LN, SUITE 205
TERRE HAUTE, IN 47802
Vigo County (812) 234-2663
MRS. GLORIA JEAN HAZARD LPN
Licensed Practical Nurse
501 E HOSPITAL LN, SUITE 101
TERRE HAUTE, IN 47802
Vigo County (812) 234-0707
KURT ROBERT ERIK MADSEN D.O.
Orthopaedic Surgery
501 E HOSPITAL LN, SUITE 205
TERRE HAUTE, IN 47802
Vigo County (812) 234-2663
JOHN W. GONZALEZ, MD INC
Psychiatry & Neurology (Psychiatry)
501 E HOSPITAL LN, SUITE 104
TERRE HAUTE, IN 47802
Vigo County (812) 232-5518

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 John Winston Gonzalez's NPI number?

The NPI number for John Winston Gonzalez is 1851471163. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is John Winston Gonzalez located?

John Winston Gonzalez practices at 501 E Hospital Ln Suite 104, Terre Haute, IN 47802. The listed phone number is (812) 232-5518.

What is John Winston Gonzalez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is John Winston Gonzalez enrolled in Medicare?

Yes. John Winston 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 John Winston Gonzalez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Providence Health Plan and 1 other insurer list John Winston 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.

Is John Winston Gonzalez affiliated with any hospitals?

According to CMS data, John Winston Gonzalez is affiliated with Union Hospital Inc.

When was this NPI record last updated?

The NPPES record for John Winston Gonzalez was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.