DR. EDWIN ANTONIO GOMEZ (M.D.) – Psychiatry Physician, NPI 1780775098

DR. EDWIN ANTONIO GOMEZ (M.D.) is a healthcare provider. based in Weston, Florida. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. ME97741 (FL). The NPI Number for DR. EDWIN ANTONIO GOMEZ (M.D.) is 1780775098

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWIN ANTONIO GOMEZ (M.D.)
NPI
1780775098
Phone
(954) 766-4702
Address
1040 WESTON RD
Enumeration Date
28 September 2006
Last Update Date
13 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2394558500
Graduation Year
1997 (29 years ago)
PAC ID
4880735406
Group Practice PAC ID
0547257313
Professional Enrollment ID
I20100105000354
Address ID
FL341167536NA6075XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,953 PSYCHIATRY in FL

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Provider Addresses for DR. EDWIN ANTONIO GOMEZ (M.D.)

  • 1040, Weston Road, Weston, Broward County, Florida, 33326, United States

    STE 210

    WESTON, FL 333261912

    Phone: (954) 766-4702

    Fax: (954) 766-4907

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $840.

Total Amount is formed as General ($840) + Research ($0) + Ownership ($0) = $840.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($720).

Total Amount

$840

General + Research + Ownership

Payments

4

Total payment records

General Amount

$840

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-01-05

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100105000354IPsychiatryFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2117$0
90792Psychiatric diagnostic evaluation with medical services1212$0
View full utilization report →

Insurance plans in this area (ZIP 33326)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547257313View full group profile
NameSpecialtyState
Mental Health CounselorFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
Mental Health CounselorFL
Nurse PractitionerOR
Nurse PractitionerFL
Nurse PractitionerMI
Clinical Social WorkerFL

Reviews

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Frequently asked questions

What number should I use to identify DR. EDWIN ANTONIO GOMEZ (M.D.) for billing?
Administrative and clinical systems typically use NPI 1780775098 for DR. EDWIN ANTONIO GOMEZ (M.D.).
Quick check: is DR. EDWIN ANTONIO GOMEZ (M.D.) active?
Public NPPES data shows DR. EDWIN ANTONIO GOMEZ (M.D.) with an active NPI status right now.
What services align with DR. EDWIN ANTONIO GOMEZ (M.D.)'s listing?
DR. EDWIN ANTONIO GOMEZ (M.D.)'s public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. EDWIN ANTONIO GOMEZ (M.D.)?
DR. EDWIN ANTONIO GOMEZ (M.D.) shows a connection to Weston, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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