ANDRE JAYLAN GOMEZ PA
NPI 1659095594
Hospitalist in Oklahoma City, OK
NPI Status: Active since October 03, 2022
Contact Information
700 NE 13TH ST
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-4700
- Individual
- Male
- Hospitalist
- Accepts Insurance
- PECOS Enrolled
About ANDRE GOMEZ
This page provides the complete NPI Profile along with additional information for Andre Gomez, a provider established in Oklahoma City, Oklahoma with a medical specialization in Hospitalist. The healthcare provider is registered in the NPI registry with number 1659095594 assigned on October 2022. The practitioner's primary taxonomy code is 208M00000X with license number PA4953 (OK). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1659095594
- Provider Name
- ANDRE JAYLAN GOMEZ PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 700 NE 13TH ST OKLAHOMA CITY, OK 73104
- Location Phone
- (405) 271-4700
- Mailing Address
- 123 NE 2ND ST APT 311 OKLAHOMA CITY, OK 73104
- Mailing Phone
- (575) 390-4202
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-03-2022
- Last Update Date
- 12-06-2022
- Code Navigator
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
Hospitalist
- Taxonomy Code
- 208M00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- PA4953
- License State
- OK
- Taxonomy Description
- Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 4953 (OK) |
| 2 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 4953 (OK) |
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 PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Andre Gomez 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
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 73104 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $123.06
- Minimum New Patient Price $53
- Maximum New Patient Price $162.61
- Average New Patient Copayment $30.76
- Minimum New Patient Copayment $13.25
- Maximum New Patient Copayment $40.65
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.27
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $132.4
- Average Established Patient Copayment $23.56
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $33.1
* 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.
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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 | 6 | 5 | 9 | 0 | 9 | 5 | 5 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 0 | 9 | 10 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 0 + 9 + 1 + 0 + 5 + 1 + 8 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1659095594 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1326016775 | STUART E GARRISON MD Individual | Radiology (Diagnostic Radiology) | 700 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-5125 |
| 1902874258 | EDWARD F WADLEY PA Individual | Physician Assistant | 700 NE 13TH ST TRAUMA CENTER OKLAHOMA CITY, OK 73104 (405) 271-5781 |
| 1093764904 | KAREN G SOLHEIM MSN, ARNP Individual | Nurse Practitioner | 700 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-5781 |
| 1477650349 | SARAH J. EARLEY PA-C Individual | Physician Assistant | 700 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-2720 |
| 1417009655 | MS. SUSAN GOODWIN CNS Individual | Clinical Nurse Specialist (Perioperative) | 700 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-1621 |
| 1932252012 | MS. TRACY LYNN GRAMMER MS, CCC-SLP Individual | Speech-Language Pathologist | 700 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-4152 |
| 1457404824 | DR. MICHAEL EDMOND BURTON PHARM.D., D.PH. Individual | Pharmacist (Pharmacotherapy) | 700 NE 13TH ST PHARMACY DEPT., OU MEDICAL CENTER OKLAHOMA CITY, OK 73104 (405) 271-6878 |
| 1679799019 | MS. DEBRA ANN POUND MS, APRN, ACNS-BC Individual | Clinical Nurse Specialist (Adult Health) | 700 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-5747 |
| 1134339047 | MITSY MARTIN-DAVIS PT Individual | Physical Therapist | 700 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 610-8001 |
| 1902197379 | MR. QUENTIN SUKUT CRNA Individual | Nurse Anesthetist, Certified Registered | 700 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-4351 |
| 1356397053 | RUBY NAHAR MD Individual | Internal Medicine | 700 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-5882 |
| 1134100290 | JACK BAIR MD Individual | Emergency Medicine | 700 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 378-2197 |
| 1912246141 | MS. EMILY LAUREN SKINNER PA-C Individual | Physician Assistant | 700 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-4700 |
| 1992139224 | MANDY MARIE NELSON APRN-CNS Individual | Clinical Nurse Specialist (Adult Health) | 700 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 875-5152 |
| 1417345125 | MRS. SARAH KATHLEEN TINNIN APRN Individual | Nurse Practitioner (Family) | 700 NE 13TH ST OKLAHOMA CITY, OK 73104 (580) 271-4700 |
| 1255720355 | MRS. MACKENCI HUDIBURG PA-C Individual | Physician Assistant | 700 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-4700 |
| 1750777348 | JORDAN ABBOTT RN Individual | Nurse Anesthetist, Certified Registered | 700 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-5813 |
| 1992183610 | MRS. JENNIFER ORTIZ MS, RD/LD Individual | Dietitian, Registered | 700 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-5390 |
| 1841552007 | TRAVIS BENJAMIN REDMON M.D. Individual | Emergency Medicine | 700 NE 13TH ST EM: EMERGENCY MEDICINE OKLAHOMA CITY, OK 73104 (804) 814-5592 |
| 1710366471 | DEANA GLENN Individual | Nurse Practitioner (Family) | 700 NE 13TH ST OKLAHOMA CITY, OK 73104 (918) 607-6019 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659095594, enumerated in the NPI registry as an "individual" on October 03, 2022
The provider is located at 700 Ne 13th St Oklahoma City, Ok 73104 and the phone number is (405) 271-4700
The provider's speciality is Hospitalist with taxonomy code 208M00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma. 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 $123.06 with an average copayment of $30.76 for new patient appointments. Established patients should expect a typical charge of $94.27 and an average copayment of 23.56. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 03, 2022. 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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