DR. JAMES JOSEPH GONZALES (MD) – Surgery Physician, NPI 1255504627
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
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Provider Addresses for DR. JAMES JOSEPH GONZALES (MD)
515, East Grant Street, Macomb, McDonough County, Illinois, 61455, United States
STE 211
MACOMB, IL 614553368
Phone: (309) 833-3706
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)
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: 2021-09-14
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 |
|---|---|---|---|---|
| I20210914003198 | I | General Surgery | CA | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 102 | 92 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 94 | 73 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 68 | 61 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 38 | 38 | $0 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 34 | 33 | $0 |
Insurance plans in this area (ZIP 61455)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CA | |
| General Surgery | PA | |
| General Surgery | OK | |
| Vascular Surgery, Thoracic Surgery, General Surgery | MI | |
| General Surgery | MO | |
| Orthopedic Surgery | NY | |
| Physician Assistant | VA | |
| Nurse Practitioner | MI | |
| Orthopedic Surgery | CA | |
| - | CA |
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