Active NPI 1255504627 Individual Practitioner Male Practitioner

Dr. James Joseph Gonzales , MD

Surgery • Macomb, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Gonzales, MD is a certified Surgery practicing in Macomb, IL. With approximately 27 years of clinical experience since graduating from University Of Southern California Keck School Of Medicine in 1999, Dr. Gonzales delivers high-quality medical care to the local community at 515 E GRANT ST.

Dr. Gonzales maintains professional affiliations with Acute Care Surgery Medical Group Inc, Mark Twain Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of polyps or growths of large bowel using an endoscope with mechanical snare, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

515 E Grant St
Ste 211

Macomb, IL 614553368

Telephone 3098333706

Associated Practice Facility / Clinic

🏢 Macomb Internal Medicine Ltd Facility NPI 1154305852

Medicare Profile & Education

Medical School

University Of Southern California Keck School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Macomb, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +9.0 yrs vs City Avg

City Avg: 18.0 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Macomb, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gonzales (27 Years) 27 Yrs

Macomb Specialty Average (18.0 Years) 18.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	44	43	$874.67	$246.34
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	42	40	$1037.00	$111.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	39	$562.88	$127.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	23	$200.60	$46.84
45378 Diagnostic exam of large bowel using a flexible endoscope	30	30	$650.97	$179.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	20	$332.17	$77.36
45380 Biopsy of large bowel using an endoscope	14	14	$827.36	$156.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	102	92	$585.38	$129.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	94	73	$159.91	$58.14
99213 Established patient office or other outpatient visit, typically 15 minutes	68	61	$298.59	$92.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$371.53	$114.19
45378 Diagnostic exam of large bowel using a flexible endoscope	34	33	$691.69	$176.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	19	$220.84	$49.32
45380 Biopsy of large bowel using an endoscope	29	29	$876.19	$175.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$602.00	$169.13
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	18	$540.38	$115.09
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	17	$460.17	$102.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$442.39	$130.47
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1088.99	$249.85
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$996.00	$181.15
44361 Biopsy of small bowel (except ileum) using an endoscope	13	13	$586.31	$138.37
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$896.00	$180.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	117	54	$174.53	$39.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	90	67	$146.67	$59.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$358.27	$116.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	69	69	$611.91	$137.89
99213 Established patient office or other outpatient visit, typically 15 minutes	67	59	$276.28	$95.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	37	$402.00	$134.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	31	$323.70	$72.88
45380 Biopsy of large bowel using an endoscope	35	34	$818.29	$183.76
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	25	$543.58	$134.02
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	23	$472.92	$118.83
99221 Initial hospital inpatient care per day, typically 30 minutes	22	21	$449.36	$101.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$601.57	$173.91
47562 Removal of gallbladder using an endoscope	14	14	$2963.00	$676.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$361.75	$85.47
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$752.38	$181.06
49505 Repair of groin hernia (5 years or older)	12	12	$2248.85	$538.25
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$996.00	$188.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	21	$176.22	$39.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$197.71	$117.94
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$440.62	$103.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$85.29	$59.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	14	$289.20	$73.34
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$168.73	$96.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	73	49	$107.51	$51.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	35	$82.46	$26.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	12	$125.00	$39.90
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$114.67	$51.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$166.35	$76.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$177.00	$73.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	50	$112.65	$43.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	24	$122.68	$39.47
99213 Established patient office or other outpatient visit, typically 15 minutes	54	30	$145.41	$72.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	20	$86.25	$25.56
99213 Established patient office or other outpatient visit, typically 15 minutes	26	20	$110.62	$51.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	12	$175.13	$72.71
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$118.00	$50.73
99238 Hospital discharge day management, 30 minutes or less	12	11	$197.25	$72.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	272	91	$144.00	$70.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	44	$112.00	$42.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	22	$173.00	$72.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	17	$122.00	$38.93
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$158.00	$72.57
99238 Hospital discharge day management, 30 minutes or less	16	15	$196.00	$72.02
45378 Diagnostic exam of large bowel using a flexible endoscope	12	11	$1619.83	$191.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$232.00	$104.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	233	83	$147.61	$66.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	18	$172.71	$67.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$232.00	$99.24
99221 Initial hospital inpatient care per day, typically 30 minutes	23	22	$274.17	$95.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	12	$112.00	$39.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	11	$120.94	$36.82
99238 Hospital discharge day management, 30 minutes or less	16	15	$195.06	$67.32
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$176.75	$68.42

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036136309

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License GA 054734

Surgery

NUCC Taxonomy Code: 208600000X

State License CA A75715

Hospital & Practice Group Affiliations

Mark Twain Medical Center

768 Mountain Ranch Rd, San Andreas, CA 952499707

Phone: 2097543521

Acute Care Surgery Medical Group Inc

414 G St, Marysville, CA 959015670

Phone: 5307494304

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Olivia White , MD

Surgery

NPI 1124557939

Doctor of Medicine (M.D.)

Ronald Whitley

Surgery

NPI 1194750950

Dr. Edwin Card , MD

Surgery

NPI 1568468015

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 17, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 17, 2014

Registered at 515 E GRANT ST, STE 211, MACOMB, IL 614553368 (Tel: 3098333706)

📍

Updated Business Mailing Address September 17, 2014

Registered at 515 E GRANT ST, STE 211, MACOMB, IL 614553368 (Tel: 3098333706)

👤

Provider Name / Credentials Updated September 17, 2014

Recorded as JAMES GONZALES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2014

Surgery (License #036136309 in IL)

🟢

Initial NPI Registration & Enumeration April 08, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255504627

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 08, 2008

Last Update: September 17, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

515 E Grant St, Ste 211

Macomb, IL 614553368

Phone: 3098333706

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.