MR. FIDENCIO GONZALES (PA-C) – Physician Assistant, NPI 1821163239

MR. FIDENCIO GONZALES (PA-C) is a healthcare provider. based in San antonio, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA03153 (TX). The NPI Number for MR. FIDENCIO GONZALES (PA-C) is 1821163239

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. FIDENCIO GONZALES (PA-C)
NPI
1821163239
Phone
(210) 268-0129
Address
19141 STONE OAK PKWY STE 104
Enumeration Date
21 November 2006
Last Update Date
15 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8302499995
Graduation Year
2001 (25 years ago)
PAC ID
1557424280
Group Practice PAC ID
2668690538
Professional Enrollment ID
I20090107000221
Address ID
TX780063322BO1421XSTXX400

Contacts

Secure Messaging
tcpa2@ppdxdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for MR. FIDENCIO GONZALES (PA-C)

  • 19141 STONE OAK PKWY STE 104

    SAN ANTONIO, TX 782583367

    Phone: (210) 268-0129

    Fax: (210) 311-4609

    Type: Mailing

  • The Registry, 14800, San Pedro Avenue, San Antonio, Bexar County, Texas, 78232, United States

    SUITE 202

    SAN ANTONIO, TX 782323733

    Phone: (210) 582-6600

    Fax: (210) 582-6601

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $494.

Total Amount is formed as General ($494) + Research ($0) + Ownership ($0) = $494.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($176).

Total Amount

$494

General + Research + Ownership

Payments

10

Total payment records

General Amount

$494

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2009-01-07

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
I20090107000221IPhysician AssistantTXTBD

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 minutes441237$0
80305Testing for presence of drug, read by direct observation163153$0
99213Established patient office or other outpatient visit, 20-29 minutes7062$0
99204New patient office or other outpatient visit, 45-59 minutes4242$0
96127Assessment of emotional or behavioral problems4141$0
View full utilization report →

Insurance plans in this area (ZIP 78258)

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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: 2668690538View full group profile

Reviews

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Frequently asked questions

How is MR. FIDENCIO GONZALES (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MR. FIDENCIO GONZALES (PA-C) with NPI 1821163239.
Does CMS list MR. FIDENCIO GONZALES (PA-C) as active?
Yes — MR. FIDENCIO GONZALES (PA-C) is active in the NPI listing used on this page.
What is MR. FIDENCIO GONZALES (PA-C)'s specialty?
The listing groups MR. FIDENCIO GONZALES (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect MR. FIDENCIO GONZALES (PA-C) on a map?
Expect San Antonio, Texas as a primary anchor for MR. FIDENCIO GONZALES (PA-C) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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