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DARLENE GAMEZ
NPI 1912473778
Physician Assistant in West Palm Beach, FL

Active since October 19, 2018PECOS EnrolledAccepts Medicare Assignment
400 S AUSTRALIAN AVE # 422, WEST PALM BEACH, FL 33401(561) 331-8800 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2021, Oct 16, 2020, Jan 3, 2019 and 1 more (4 updates tracked since 2018).

About Darlene Gamez NPPES

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

DARLENE GAMEZ (NPI 1912473778) is an individual physician assistant in West Palm Beach, Florida, licensed in Florida (9111758) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1912473778
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDARLENE GAMEZ
Location Address400 S AUSTRALIAN AVE # 422West Palm Beach, FL 33401-5004
Mailing Address400 S Australian Ave # 422West Palm Beach, FL 33401-5004 · (561) 331-8800
Phone(561) 331-8800
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 19, 2018
Last NPPES UpdateFebruary 5, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2021
✔ NPI 1912473778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · 9111758
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
400 S AUSTRALIAN AVE # 422, West Palm Beach, FL 33401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, UnitedHealthcare.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

Darlene Gamez 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 ID8426398090
PECOS Enrollment IDI20210330000774
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

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.
106 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33401 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

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 Darlene Gamez's NPI number?

The NPI number for Darlene Gamez is 1912473778. It was assigned to this individual provider in the NPPES registry on October 19, 2018.

Where is Darlene Gamez located?

Darlene Gamez practices at 400 S Australian Ave # 422, West Palm Beach, FL 33401. The listed phone number is (561) 331-8800.

What is Darlene Gamez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Darlene Gamez enrolled in Medicare?

Yes. Darlene Gamez 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 Darlene Gamez accept?

Health plans from Providence Health Plan and UnitedHealthcare list Darlene Gamez 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.

When was this NPI record last updated?

The NPPES record for Darlene Gamez was last updated on February 5, 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.