DR. ATANACIO GOMEZ (MD) – Family Medicine Physician, NPI 1114456449

DR. ATANACIO GOMEZ (MD) is a healthcare provider. based in Grand junction, Colorado. specializing in SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. DR0073285 (CO). The NPI Number for DR. ATANACIO GOMEZ (MD) is 1114456449

Main info

Male
10 Years Of Experience
Name
DR. ATANACIO GOMEZ (MD)
NPI
1114456449
Phone
(830) 752-7003
Address
2461 FLAT TOP LN UNIT A
Enumeration Date
9 June 2017
Last Update Date
7 May 2026

Doctor Profile

Medical School Name
SAN JUAN BAUTISTA SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
8820367071
Professional Enrollment ID
I20240609000199
Address ID
CO805388702LO2695XAVEX402
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:8State licenses:2Digital endpointsOther names

199 SPORTS MEDICINE in CO

Provider Addresses for DR. ATANACIO GOMEZ (MD)

  • 2461 FLAT TOP LN UNIT A

    GRAND JUNCTION, CO 815051613

    Phone: (830) 752-7003

    Type: Mailing

  • 1000 E DOVE AVE

    MCALLEN, TX 785043974

    Phone: (956) 362-3548

    Type: Mailing

  • 3150 N 12TH ST

    GRAND JUNCTION, CO 815062863

    Phone: (970) 256-5201

    Fax: (970) 256-5202

    Type: Location

  • 6100, Eastridge Road, Leeco Business Park, Mission, The Vistas, Odessa, Ector County, Texas, 79762, United States

    ODESSA, TX 797625002

    Phone: (432) 272-1072

    Type: Mailing

  • 2819 35TH AVE

    GREELEY, CO 806349421

    Phone: (970) 652-2801

    Fax: (970) 652-2929

    Type: Mailing

  • PO BOX 10700

    GRAND JUNCTION, CO 815025517

    Phone: (970) 254-2642

    Fax: (970) 254-2637

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201016002681IFamily PracticeTXTBD
I20240609000199IFamily PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5224$0
99213Established patient office or other outpatient visit, 20-29 minutes5040$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2918$0
99214Established patient office or other outpatient visit, 30-39 minutes2220$0
96127Assessment of emotional or behavioral problems1816$0
View full utilization report →

Insurance plans in this area (ZIP 81505)

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Reviews

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Frequently asked questions

How do payers reference DR. ATANACIO GOMEZ (MD)?
For DR. ATANACIO GOMEZ (MD), use NPI 1114456449 as the unique 10-digit identifier.
Active or inactive — what applies to DR. ATANACIO GOMEZ (MD)?
You should see DR. ATANACIO GOMEZ (MD) as active in CMS-hosted NPPES data.
What kind of doctor is DR. ATANACIO GOMEZ (MD)?
DR. ATANACIO GOMEZ (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. ATANACIO GOMEZ (MD)?
Travel planning: use Grand Junction, Colorado as the reference point for DR. ATANACIO GOMEZ (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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