ANTONIO VICTOR PRUDENTE GONZALEZ (MD) – Infectious Disease Physician, NPI 1073781142
Infectious Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
674 INFECTIOUS DISEASE in TX
Provider Addresses for ANTONIO VICTOR PRUDENTE GONZALEZ (MD)
118 LYNN AVE STE 100
LEWISVILLE, TX 750573706
Phone: (214) 396-8877
Fax: (214) 983-0983
Type: Location
Forest Avenue, Richmond, Madison County, Kentucky, 40475, United States
SUITE 410
RICHMOND, VA 232294938
Phone: (804) 285-1833
Fax: (804) 285-5754
Type: Location
4461 Coit Rd Ste 409
Frisco, TX 750350526
Phone: (214) 396-8877
Fax: (214) 983-0983
Type: Location
4461 COIT RD
STE 409
FRISCO, TX 750350526
Phone: (214) 396-8877
Fax: (214) 983-0983
Type: Mailing
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 $247.
Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.
Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Shockwave Medical, Inc ($179).
Total Amount
$247
General + Research + Ownership
Payments
4
Total payment records
General Amount
$247
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Shockwave Medical, Inc | $179 |
| ABBVIE INC. | $30 |
| Janssen Biotech, Inc. | $21 |
| NESTLE HEALTHCARE NUTRITION INC. | $16 |
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: 2021-08-20
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 |
|---|---|---|---|---|
| I20210820000661 | I | Infectious Disease | TX | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 803 | 230 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 192 | 181 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 39 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 15 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 16 | 12 | $0 |
Insurance plans in this area (ZIP 75057)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease, Internal Medicine | TX | |
| Infectious Disease, Internal Medicine | TX |
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