AMY BREEDLOVE GONZALES (PA-C) – Physician Assistant, NPI 1780791392
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for AMY BREEDLOVE GONZALES (PA-C)
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752840853
Phone: (713) 620-4000
Fax: (713) 458-4229
Type: Mailing
124 CREST CIRCLE DR
SAN MARCOS, TX 786669329
Phone: (512) 618-2826
Type: Mailing
1600 N INTERSTATE 35
SAN MARCOS, TX 786666984
Phone: (512) 618-2826
Type: Location
Citywest Boulevard, Houston, Harris County, Texas, 77042-9998, United States
HOUSTON, TX 77042
Phone: (713) 620-4000
Fax: (713) 458-4229
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 $176.
Total Amount is formed as General ($176) + Research ($0) + Ownership ($0) = $176.
Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($118).
Total Amount
$176
General + Research + Ownership
Payments
4
Total payment records
General Amount
$176
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences, Inc. | $118 |
| Indivior Inc. | $36 |
| ABBVIE INC. | $22 |
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: 2012-10-19
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 |
|---|---|---|---|---|
| I20121019000249 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 2,787 | 426 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 410 | 208 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 149 | 149 | $0 |
Insurance plans in this area (ZIP 75284)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX |
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