ENEIDA GOMEZ (MD) – Psychiatry Physician, NPI 1366431835
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ENEIDA GOMEZ (MD)
Saint Augustine Post Office, Main Street, Saint Augustine, Le Golfe-du-Saint-Laurent, Côte-Nord, Quebec, Canada
SAINT AUGUSTINE, FL 320853123
Phone: (904) 824-4990
Type: Mailing
Tree Boulevard, St. Augustine, St. Johns County, Florida, 32084, United States
STE 5
ST AUGUSTINE, FL 320845715
Phone: (904) 342-0672
Fax: (904) 342-0673
Type: Location
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.
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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: 2007-02-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070219000402 | I | Psychiatry | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 395 | 156 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 49 | 40 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 46 | 37 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 26 | 25 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 24 | 23 | $0 |
Insurance plans in this area (ZIP 32085)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | FL | 90792 | Psychiatric diagnostic evaluation with medical services | 104 | 103 |
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