JAY M GONZALEZ (DO) – Obstetrics & Gynecology Physician, NPI 1396739488

JAY M GONZALEZ (DO) is a healthcare provider. based in Oshkosh, Wisconsin. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. 46930 (WI). The NPI Number for JAY M GONZALEZ (DO) is 1396739488

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
JAY M GONZALEZ (DO)
NPI
1396739488
Phone
(920) 223-0220
Address
2700 W 9TH AVE
Enumeration Date
6 September 2005
Last Update Date
2 September 2008

Doctor Profile

Medical School Name
WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Secondary Phone
9202233000
Graduation Year
2000 (26 years ago)
PAC ID
1850365966
Group Practice PAC ID
0244142420
Professional Enrollment ID
I20040824001036
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

798 OBSTETRICS/GYNECOLOGY in WI

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Provider Addresses for JAY M GONZALEZ (DO)

  • Ear, Nose and Throat Specialists of Wisconsin, 2700, West 9th Avenue, Oshkosh, Winnebago County, Wisconsin, 54904, United States

    STE 230

    OSHKOSH, WI 549047247

    Phone: (920) 223-0220

    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)

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: 2004-08-24

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
I20040824001036IObstetrics/GynecologyWITBD

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
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina1311$0
76856Complete ultrasound scan of pelvis1211$0
View full utilization report →

Insurance plans in this area (ZIP 54904)

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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: 0244142420View full group profile

Reviews

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Frequently asked questions

How do payers reference JAY M GONZALEZ (DO)?
For JAY M GONZALEZ (DO), use NPI 1396739488 as the unique 10-digit identifier.
Active or inactive — what applies to JAY M GONZALEZ (DO)?
You should see JAY M GONZALEZ (DO) as active in CMS-hosted NPPES data.
How would a patient describe JAY M GONZALEZ (DO)'s focus?
For JAY M GONZALEZ (DO), the primary taxonomy reads as Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JAY M GONZALEZ (DO)?
Directory geography for JAY M GONZALEZ (DO) centers on Oshkosh, Wisconsin.
Can I trust this NPI listing for JAY M GONZALEZ (DO)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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