MR. LUIS GERARDO GOMEZ (PA-C) – Medical Physician Assistant, NPI 1316977994

MR. LUIS GERARDO GOMEZ (PA-C) is a healthcare provider. based in Ballwin, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 111558 (MO). The NPI Number for MR. LUIS GERARDO GOMEZ (PA-C) is 1316977994

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. LUIS GERARDO GOMEZ (PA-C)
NPI
1316977994
Phone
(636) 230-9668
Address
416 TERRINGTON DR
Enumeration Date
3 July 2006
Last Update Date
14 January 2021

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3149965000
Graduation Year
1996 (30 years ago)
PAC ID
5991956393
Group Practice PAC ID
3476461955
Professional Enrollment ID
I20121113000030
Address ID
MO631312329SA3015XRDXX400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,853 PHYSICIAN ASSISTANT in MO

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Provider Addresses for MR. LUIS GERARDO GOMEZ (PA-C)

  • 416, Terrington Drive, Westbrooke Woods, Ballwin, Saint Louis County, Missouri, 63021, United States

    BALLWIN, MO 630214416

    Phone: (636) 230-9668

    Type: Mailing

  • Missouri Baptist Medical Center, 3015, North Ballas Road, Town and Country, Saint Louis County, Missouri, 63131, United States

    SAINT LOUIS, MO 631312329

    Phone: (314) 996-7033

    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.

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: 2012-11-13

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
I20121113000030IPhysician AssistantMOTBD

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 minutes2525$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1818$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)1414$0
View full utilization report →

Insurance plans in this area (ZIP 63021)

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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: 3476461955View full group profile
NameSpecialtyState
Physician AssistantMO
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YCA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MO
O B S T E T R I C S/ G Y N E C O L O G YMO

Reviews

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Frequently asked questions

How do I look up MR. LUIS GERARDO GOMEZ (PA-C) by NPI?
Use NPI 1316977994 when you need to reference MR. LUIS GERARDO GOMEZ (PA-C) in forms, claims, or directories.
Is MR. LUIS GERARDO GOMEZ (PA-C) currently active in the NPI registry?
CMS-published data lists MR. LUIS GERARDO GOMEZ (PA-C) as an active registrant.
What field does MR. LUIS GERARDO GOMEZ (PA-C) work in?
You can think of MR. LUIS GERARDO GOMEZ (PA-C) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. LUIS GERARDO GOMEZ (PA-C)?
The page summarizes Ballwin, Missouri for MR. LUIS GERARDO GOMEZ (PA-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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