DAVID J. GONZALES M.D.
NPI 1518900935
Internal Medicine in Dallas, TX


Quality Rating: 68.07 out of 100 score

NPI Status: Active since June 14, 2006

Contact Information

8200 WALNUT HILL LN
DALLAS, TX
ZIP 75231
Phone: (214) 221-6362
Fax: (214) 345-8784

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  • Individual
  • Male
  • Internal Medicine
  • Accepts Insurance
  • PECOS Enrolled
  • Medicare Quality Reporting

About DAVID GONZALES

This page provides the complete NPI Profile along with additional information for David Gonzales, an internist established in Dallas, Texas with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1518900935 assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X with license number L9211 (TX). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1518900935
Provider Name
DAVID J. GONZALES M.D.
Gender
Male
Entity Type
Individual
Location Address
8200 WALNUT HILL LN DALLAS, TX 75231
Location Phone
(214) 221-6362
Location Fax
(214) 345-8784
Mailing Address
5310 GALAXIE RD GARLAND, TX 75044
Mailing Phone
(214) 221-6362
Mailing Fax
(214) 345-8784
Is Sole Proprietor?
No
Enumeration Date
06-14-2006
Last Update Date
06-18-2013
Code Navigator

An internist like David Gonzales 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

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
L9211
License State
TX
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Harmony by Medica Bronze $0 Copay PCP Visits - PPO
  • Harmony by Medica Bronze $0 Copay PCP Visits + Adult Eye Exam - PPO
  • Harmony by Medica Bronze Premier - PPO
  • Harmony by Medica Bronze Premier + Adult Eye Exam - PPO
  • Harmony by Medica Catastrophic - PPO
  • Harmony by Medica Catastrophic + Adult Eye Exam - PPO
  • Harmony by Medica Expanded Bronze Standard - PPO
  • Harmony by Medica Expanded Bronze Standard + Adult Eye Exam - PPO
  • Harmony by Medica Gold $0 Copay PCP Visits - PPO
  • Harmony by Medica Gold $0 Copay PCP Visits + Adult Eye Exam - PPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 12 - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic - EPO
  • Gold Classic Guided Care - HMO
  • Gold Classic Standard - EPO
  • Gold Classic Standard Guided Care - HMO
  • Gold Elite - EPO
  • Gold Simple Guided Care - HMO
  • Silver Classic - EPO

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
8D5519MEDICARE PIN (08)TX 
I31363MEDICARE UPIN (02)TX 
173585401MEDICAID (05)TX 
173585402MEDICAID (05)TX 
8J8313MEDICARE PIN (08)TX 

Medicare Participation & PECOS Enrollment Status

David Gonzales is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    1 DME suppliers used 11 Medicare Claims 11 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    1 DME suppliers used 11 Medicare Claims 11 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 39 times for 23 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 21 times for 21 patients

Initial hospital observation care per day, typically 70 minutes

This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.

This service was performed 14 times for 14 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 75231 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $131.01
  • Minimum New Patient Price $57.18
  • Maximum New Patient Price $172.86
  • Average New Patient Copayment $32.75
  • Minimum New Patient Copayment $14.29
  • Maximum New Patient Copayment $43.21

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.8
  • Minimum Established Patient Price $18.48
  • Maximum Established Patient Price $141.2
  • Average Established Patient Copayment $25.2
  • Minimum Established Patient Copayment $4.62
  • Maximum Established Patient Copayment $35.3

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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 68.07, 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.

  • Final Score: 68.07 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.

  • Quality Score: 57.61

    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.

  • Promoting Interoperability Score: N/A

    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: 49.34

    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: 49.34

    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.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Care Plan 99% 152
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan

Reviews for DAVID J. GONZALES 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.
1518900935
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2528180096
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 1 + 8 + 0 + 0 + 9 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1518900935 is valid because the calculated check digit 5 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
1164408043DR. JEANNE WALLACE D.O.
Individual
Anesthesiology8200 WALNUT HILL LN
DALLAS, TX 75231
(214) 345-6789
1093792566DR. CHARLES F. IRWIN M.D.
Individual
Anesthesiology (Addiction Medicine)8200 WALNUT HILL LN
DALLAS, TX 75231
(214) 345-6148
1174500649DR. GEORGE W. HURST M.D.
Individual
Anesthesiology8200 WALNUT HILL LN
DALLAS, TX 75231
(214) 345-6148
1316924871DR. MARK H. GILLIE M.D.
Individual
Anesthesiology8200 WALNUT HILL LN
DALLAS, TX 75231
(214) 345-6148
1760469225DR. ALAN IRWIN FRANKFURT M.D.
Individual
Anesthesiology8200 WALNUT HILL LN
DALLAS, TX 75231
(214) 345-6148
1386621845DR. LAURENCE E. KONIG M.D.
Individual
Anesthesiology8200 WALNUT HILL LN
DALLAS, TX 75231
(214) 345-6148
1629055058DR. KEVIN SCOTT CARNES MD
Individual
Anesthesiology8200 WALNUT HILL LN
DALLAS, TX 75231
(214) 345-6148
1437136850DR. CHRISTOPHER ALAN MORGAN M.D.
Individual
Anesthesiology8200 WALNUT HILL LN
DALLAS, TX 75231
(214) 345-6148
1003893439DR. TIMOTHY A. MOORE M.D.
Individual
Anesthesiology8200 WALNUT HILL LN
DALLAS, TX 75231
(214) 345-6148
1073590402DR. DAVID WILLIAM BYRD MD
Individual
Anesthesiology8200 WALNUT HILL LN
DALLAS, TX 75231
(214) 345-6148
1174500524DR. MICHAEL CHARLES HOLUB M.D.
Individual
Anesthesiology8200 WALNUT HILL LN
DALLAS, TX 75231
(214) 345-6148
1053384321 KEVIN THONG NGUYEN MD
Individual
Internal Medicine8200 WALNUT HILL LN
DALLAS, TX 75231
(214) 221-6362
1215985924 PAMELA GRACE LINDSAY M.D.
Individual
Internal Medicine8200 WALNUT HILL LN
DALLAS, TX 75231
(972) 792-5700
1063461598SOUTHWEST IMAGING AND INTERVENTIONAL SPECIALISTS, P.A.
Organization
Radiology (Diagnostic Radiology)8200 WALNUT HILL LN
DALLAS, TX 75231
(214) 345-7770
1750335618PRESBYTERIAN HOSPITAL OF DALLAS
Organization
Nurse Anesthetist, Certified Registered8200 WALNUT HILL LN
DALLAS, TX 75231
(214) 345-7173
1578518023 JENNIFER GOLDSTEIN PH. D.
Individual
Clinical Neuropsychologist8200 WALNUT HILL LN
DALLAS, TX 75231
(214) 345-7355
1457306524 BECKY ANN BROUSSARD CRNA
Individual
Nurse Anesthetist, Certified Registered8200 WALNUT HILL LN
DALLAS, TX 75231
(213) 345-7175
1962440669 SARITA S. LOUYS M.D.
Individual
Internal Medicine8200 WALNUT HILL LN
DALLAS, TX 75231
(214) 221-6362
1437198835 WILLIAM NORCROSS MD
Individual
Emergency Medicine8200 WALNUT HILL LN
DALLAS, TX 75231
(214) 345-6789
1417996927DR. JERRY LEE BARKER SR. M.D.
Individual
Radiology (Radiation Oncology)8200 WALNUT HILL LN RADIATION ONCOLOGY CENTER
DALLAS, TX 75231
(214) 345-7394

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518900935, enumerated in the NPI registry as an "individual" on June 14, 2006

The provider is located at 8200 Walnut Hill Ln Dallas, Tx 75231 and the phone number is (214) 221-6362

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medica,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $131.01 with an average copayment of $32.75 for new patient appointments. Established patients should expect a typical charge of $100.8 and an average copayment of 25.2. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 35 minutes, Initial hospital inpatient care per day, typically 70 minutes and Initial hospital observation care per day, typically 70 minutes.

This NPI record was last updated on June 14, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.