ALFONSO IVAN GONZALEZ (M.D.) – Family Medicine Physician, NPI 1386606721

ALFONSO IVAN GONZALEZ (M.D.) is a healthcare provider. based in Odessa, Texas. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD2005-0515 (NM). The NPI Number for ALFONSO IVAN GONZALEZ (M.D.) is 1386606721

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
ALFONSO IVAN GONZALEZ (M.D.)
NPI
1386606721
Phone
(432) 333-1300
Address
501 BERNICE AVE
Enumeration Date
3 April 2006
Last Update Date
31 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4323331300
Graduation Year
2001 (25 years ago)
PAC ID
2365465317
Professional Enrollment ID
I20061122000087
Address ID
TX797634226OD501XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for ALFONSO IVAN GONZALEZ (M.D.)

  • Alfonso I. Gonzalez M.D., 501, Bernice Avenue, Sweetbriar Apts, Westside, Odessa, Ector County, Texas, 79763, United States

    ODESSA, TX 797634226

    Phone: (432) 333-1300

    Fax: (432) 333-1306

    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 112 Open Payments records for all available years, with a total value of $1,898.

Total Amount is formed as General ($1,898) + Research ($0) + Ownership ($0) = $1,898.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Lilly USA, LLC ($335).

Total Amount

$1,898

General + Research + Ownership

Payments

112

Total payment records

General Amount

$1,898

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2006-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060105000501IFamily PracticeNMTBD
I20061122000087IFamily PracticeTXTBD

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 minutes18060$0
99284Emergency department visit with moderate level of medical decision making6664$0
99285Emergency department visit with high level of medical decision making4039$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3532$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1515$0
View full utilization report →

Insurance plans in this area (ZIP 79763)

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Reviews

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Frequently asked questions

What number should I use to identify ALFONSO IVAN GONZALEZ (M.D.) for billing?
Administrative and clinical systems typically use NPI 1386606721 for ALFONSO IVAN GONZALEZ (M.D.).
Should I treat ALFONSO IVAN GONZALEZ (M.D.) as an active provider?
Patients and plans typically see ALFONSO IVAN GONZALEZ (M.D.) as active in the national extract.
What type of care does ALFONSO IVAN GONZALEZ (M.D.) provide?
ALFONSO IVAN GONZALEZ (M.D.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ALFONSO IVAN GONZALEZ (M.D.) tied to Odessa, Texas?
If you are local to Odessa, Texas, ALFONSO IVAN GONZALEZ (M.D.) may be relevant to your search.
Why is information missing for ALFONSO IVAN GONZALEZ (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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