DR. MICHAEL GOMENDOZA (MD) – Internal Medicine Physician, NPI 1174637110
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
163 PULMONARY DISEASE in IA
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Provider Addresses for DR. MICHAEL GOMENDOZA (MD)
PO BOX 2027
IOWA CITY, IA 522442027
Phone: (319) 339-3855
Fax: (319) 358-2791
Type: Mailing
2769, Heartland Drive, Coralville, Johnson County, Iowa, 52241, United States
SUITE 205
CORALVILLE, IA 522412732
Phone: (319) 887-2900
Fax: (319) 339-3858
Type: Location
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 $83.
Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.
Last reported payment date: 2024-05-31 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($69).
Total Amount
$83
General + Research + Ownership
Payments
4
Total payment records
General Amount
$83
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $69 |
| Lilly USA, LLC | $14 |
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: 2012-05-14
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 |
|---|---|---|---|---|
| I20120514000186 | I | Internal Medicine | IA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 494 | 215 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 278 | 151 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 104 | 104 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 89 | 68 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 69 | 69 | $0 |
Insurance plans in this area (ZIP 52244)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | IA | 85610 | Blood test, clotting time | 106 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Family Practice | IA | |
| Nurse Practitioner | IA | |
| Internal Medicine | OR | |
| - | IA | |
| Physician Assistant | IA | |
| Nurse Practitioner | IA | |
| Nephrology, Internal Medicine | IA | |
| Physician Assistant | IA | |
| Nephrology, Internal Medicine | WI |
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