DR. THOMAS ARTHUR GONWA M.D.
NPI 1124017710
Internal Medicine - Nephrology in Jacksonville, FL
Quality Rating: 77.12 out of 100 score
NPI Status: Active since October 17, 2005
Contact Information
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 953-2000
- Individual
- Male
- Internal Medicine
- Nephrology
- Accepts Insurance
About THOMAS GONWA
This page provides the complete NPI Profile along with additional information for Thomas Gonwa, an internist established in Jacksonville, Florida with a medical specialization in Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1124017710 assigned on October 2005. The practitioner's primary taxonomy code is 207RN0300X with license number ME86183 (FL). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1124017710
- Provider Name
- DR. THOMAS ARTHUR GONWA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4500 SAN PABLO RD S JACKSONVILLE, FL 32224
- Location Phone
- (904) 953-2000
- Mailing Address
- 4500 SAN PABLO RD S JACKSONVILLE, FL 32224
- Mailing Phone
- (904) 953-2000
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-17-2005
- Last Update Date
- 09-30-2020
- Code Navigator
An internist like Thomas Gonwa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Nephrology
- Taxonomy Code
- 207RN0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME86183
- License State
- FL
- Taxonomy Description
- An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
- BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
390007795 | OTHER (01) | FL | RAILROAD MEDICARE |
262864300 | MEDICAID (05) | FL | |
58818 | OTHER (01) | FL | BLUECROSS/BLUESHIELD |
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 77.12, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 77.12 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 68.29
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 55.44
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 55.44
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Reviews for DR. THOMAS ARTHUR GONWA M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 2 | 4 | 0 | 1 | 7 | 7 | 1 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 4 | 4 | 0 | 1 | 14 | 7 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 4 + 4 + 0 + 1 + 1 + 4 + 7 + 2 + 24 = 50 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1124017710 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1023015062 | MS. KATHERINE ANN LEMASTER LCSW, RN Individual | Social Worker (Clinical) | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 296-3700 |
1962403964 | MS. NANCY DALTON CRNA Individual | Nurse Anesthetist, Certified Registered | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 296-4667 |
1285621573 | DR. ROBERT ALLEN GILLHAM JR. M.D. Individual | Allergy & Immunology | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
1831186089 | DR. GEOFFREY STEVEN GATES M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
1750378907 | DR. THOMAS PATRICK FOX M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
1083601231 | DR. GRETCHEN KAY LIPKE M.D. Individual | Emergency Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
1790772747 | DR. PHILIP PAUL METZGER M.D. Individual | Colon & Rectal Surgery | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
1316935190 | DR. SANFORD JOSPEH FINCK M.D. Individual | Internal Medicine (Critical Care Medicine) | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
1871582726 | DR. JAN MARIE LARSON M.D. Individual | Family Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
1437148392 | DR. JERRY WAYNE SAYRE M.D. Individual | Family Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
1912996877 | DR. WALTER CLYBURN TAYLOR III M.D. Individual | Family Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
1689663569 | DR. JAMES SAMUEL SCOLAPIO M.D. Individual | Internal Medicine (Gastroenterology) | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
1598754210 | DR. RONALD ALBERT HINDER M.D. Individual | Surgery | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
1043209778 | DR. WILLIAM JAMES MAPLES M.D. Individual | Internal Medicine (Hematology & Oncology) | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
1578552204 | DR. SHARON YVETT EZELL GERLACH M.D. Individual | Internal Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
1619966348 | DR. FRANCOIS LETTE M.D. Individual | Internal Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
1154310886 | DR. KAY MULLINAX MITCHELL M.D. Individual | Internal Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
1518956192 | DR. KENNETH GORDON NIX JR. M.D. Individual | Internal Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
1548259138 | DR. KATHLEEN ALLEN ROWLETT M.D. Individual | Internal Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
1427047018 | DR. JAMES HANNIS STEWART M.D. Individual | Internal Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124017710, enumerated in the NPI registry as an "individual" on October 17, 2005
The provider is located at 4500 San Pablo Rd S Jacksonville, Fl 32224 and the phone number is (904) 953-2000
The provider's speciality is Internal Medicine with taxonomy code 207RN0300X with a focus in Nephrology
The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
This NPI record was last updated on October 17, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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