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DR. LUIS CARLOS GONZALEZ M.D.
NPI 1871519637
Surgery in Bradford, PA

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
82.65/100
CMS Quality Rating
181 INTERSTATE PKWY, BRADFORD, PA 16701(814) 362-4345(814) 362-1178 Get Directions Write a Review

NPPES record last updated: February 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Luis Carlos Gonzalez M.d. NPPES

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

DR. LUIS CARLOS GONZALEZ M.D. (NPI 1871519637) is an individual surgery provider in Bradford, Pennsylvania, licensed in Pennsylvania (MD054904L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Olean General Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1871519637
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. LUIS CARLOS GONZALEZCredential: M.D.
Location Address181 INTERSTATE PKWYBradford, PA 16701-1041
Mailing Address181 Interstate PkwyBradford, PA 16701-1041 · (814) 362-4345 · Fax (814) 362-1178
Phone(814) 362-4345
Fax(814) 362-1178
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJuly 14, 2006
Last NPPES UpdateFebruary 18, 2013
✔ NPI 1871519637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD054904L
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
181 INTERSTATE PKWY, Bradford, PA 16701
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Other Identifiers 3

Medicare ID-Type Unspecified868019PA
Medicare UPING30366PA
Medicaid0015887450005PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Luis Carlos 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 ID5294811444
PECOS Enrollment IDI20080327000644, I20220926002965
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 7

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.
122 services110 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.
99 services88 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.
74 services74 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.
47 services47 patients
Punch biopsy, first skin growth 11104
A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.
35 services32 patients
Complete ultrasound scan of 1 breast 76641
A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.
31 services29 patients

Hospital Affiliations CMS Care Compare

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

Olean General Hospital

Acute Care Hospitals · Olean, NY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number330103
Location515 Main StreetOlean, NY 14760 · Cattaraugus County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16701 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

82.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality87.06
Improvement Activities40
Cost59.41

Reported Quality Measures

Breast Cancer Screening
54%652 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
60%1,369 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
71%1,303 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
66%307 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
25%2,883 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
26%869 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%2,182 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
12%1,868 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
36%1,986 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 82% · 1,258 patients
Patients screened: 99% · 1,258 patients
26%316 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
28%590 patients1/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 947 patients
Patients totalRate: 0% · 947 patients
0%947 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.

Other Providers at the Same Location NPPES 3

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

LUIS C GONZALEZ MD
Surgery
181 INTERSTATE PKWY
BRADFORD, PA 16701
McKean County (814) 362-4345
KELLIE J KRZOS
Nurse Practitioner (Adult Health)
181 INTERSTATE PKWY
BRADFORD, PA 16701
McKean County (262) 581-4362
MICHAEL J WALT DO
Family Medicine
181 INTERSTATE PKWY
BRADFORD, PA 16701
McKean County (814) 368-3123

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 Luis Gonzalez's NPI number?

The NPI number for Luis Gonzalez is 1871519637. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Luis Gonzalez located?

Luis Gonzalez practices at 181 Interstate Pkwy, Bradford, PA 16701. The listed phone number is (814) 362-4345.

What is Luis Gonzalez's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Luis Gonzalez enrolled in Medicare?

Yes. Luis 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 Luis Gonzalez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Luis 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 Luis Gonzalez affiliated with any hospitals?

According to CMS data, Luis Gonzalez is affiliated with Olean General Hospital.

When was this NPI record last updated?

The NPPES record for Luis Gonzalez was last updated on February 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.