Deactivated NPI 1760487714 Deactivated / Inactive NPI Male Practitioner

Dr. Miguel A. Gomez , MD

Specialist • Tualatin, OR

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Miguel Gomez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 16, 2005

NPI Deactivation Date October 17, 2022

Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Miguel Gomez, MD was a registered Specialist practicing in Tualatin, OR. Throughout an active medical career spanning 17 years, Dr. Gomez provided care at the practice location at 19260 SW 65TH AVE until profile deactivation on 2022-10-17.

Historical Medicare Part B clinical services included established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

19260 Sw 65th Ave
Ste 420

Tualatin, OR 970625712

Telephone 5036920405

Fax 5036927978

Associated Practice Facility / Clinic

🏢 Pacific Heart Associates, P.c. Facility NPI 1447381157

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Tualatin, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.0 Yrs

State Avg: 35.7 Yrs

Regional Practice Density

16 Specialists

Practicing in Tualatin, OR (1153 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	288	183	$394.00	$132.17
93000 Routine ekg using at least 12 leads including interpretation and report	148	121	$54.00	$14.72
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	89	83	$62.00	$8.44
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	68	67	$622.00	$213.37
99213 Established patient office or other outpatient visit, typically 15 minutes	68	56	$279.00	$93.77
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	55	27	$80.00	$25.03
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	49	23	$92.00	$30.57
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	48	48	$740.00	$72.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$515.00	$171.20
93280 Programming of dual lead pacemaker system	19	16	$240.47	$81.88
93229 Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional	11	11	$2767.00	$962.56
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	11	11	$79.00	$26.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	309	184	$395.00	$134.56
93000 Routine ekg using at least 12 leads including interpretation and report	190	153	$52.00	$15.38
99213 Established patient office or other outpatient visit, typically 15 minutes	184	134	$278.00	$94.56
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	96	90	$61.52	$8.46
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	93	92	$734.62	$72.51
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	88	88	$626.00	$216.39
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	51	28	$78.00	$27.40
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec	46	11	$78.00	$29.48
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	37	21	$92.00	$31.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$511.00	$173.42
93280 Programming of dual lead pacemaker system	19	18	$181.74	$62.50
93229 Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional	17	17	$2158.00	$764.40
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	17	17	$79.00	$26.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	13	$603.00	$203.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$342.00	$116.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	227	153	$222.00	$78.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	163	$320.59	$112.71
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	119	112	$59.43	$8.83
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	104	34	$76.00	$27.59
93000 Routine ekg using at least 12 leads including interpretation and report	95	82	$50.00	$17.74
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	94	94	$706.57	$76.97
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	80	25	$93.00	$32.63
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec	78	15	$76.00	$28.50
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	76	74	$615.00	$222.52
99442 Telephone medical discussion with physician, 11-20 minutes	59	55	$82.00	$78.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	22	$600.00	$209.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$476.29	$165.94
93280 Programming of dual lead pacemaker system	18	15	$164.50	$58.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$318.00	$112.96
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	13	13	$80.00	$27.75
93229 Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional	11	11	$2082.00	$765.48
99443 Telephone medical discussion with physician, 21-30 minutes	11	11	$120.00	$114.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	631	284	$321.00	$110.52
93000 Routine ekg using at least 12 leads including interpretation and report	310	233	$50.00	$17.46
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	186	167	$57.32	$8.74
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	96	34	$76.00	$26.83
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	81	80	$684.47	$74.87
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	79	28	$91.00	$31.23
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	73	72	$613.00	$212.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$486.00	$156.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	32	$599.00	$204.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	14	$215.00	$73.49
93280 Programming of dual lead pacemaker system	27	18	$116.89	$40.36
0298T Review and interpretation of external EKG recording for more than 48 hours up to 21 days	21	21	$80.00	$27.03
0296T External EKG recording for more than 48 hours up to 21 days	21	21	$82.00	$27.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$611.00	$195.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	652	285	$319.00	$110.34
93000 Routine ekg using at least 12 leads including interpretation and report	264	209	$50.00	$17.44
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	138	124	$55.59	$8.57
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	93	56	$79.00	$27.94
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	83	83	$661.11	$74.89
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	82	81	$624.00	$218.88
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	62	44	$91.00	$31.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	31	$216.00	$73.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$488.00	$167.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	36	$603.00	$205.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	19	$310.00	$105.68
0296T External EKG recording for more than 48 hours up to 21 days	24	24	$82.00	$27.18
0298T Review and interpretation of external EKG recording for more than 48 hours up to 21 days	22	22	$80.00	$26.58
93280 Programming of dual lead pacemaker system	21	16	$167.38	$57.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$431.00	$140.38
93295 Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days	14	11	$177.00	$56.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$406.00	$138.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	582	274	$332.39	$108.90
93000 Routine ekg using at least 12 leads including interpretation and report	226	182	$69.60	$17.40
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	170	149	$53.64	$8.52
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	127	125	$641.59	$64.14
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	72	72	$758.53	$232.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	29	$180.10	$72.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$377.12	$163.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$506.69	$203.75
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$229.27	$74.59
93280 Programming of dual lead pacemaker system	20	15	$190.10	$59.67
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	18	16	$80.33	$27.38
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	16	14	$99.22	$34.22
0296T External EKG recording for more than 48 hours up to 21 days	16	16	$91.42	$26.68
0298T Review and interpretation of external EKG recording for more than 48 hours up to 21 days	16	16	$75.29	$27.21
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	14	14	$172.21	$27.21

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OR MD23251

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Scott Brancato , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1184849762

Doctor of Medicine (M.D.)

Dr. Sandeep Garg , MD

Internal Medicine - Cardiovascular Disease

NPI 1316942238

Doctor of Medicine (M.D.)

Dr. Hillary Jenson , DNP, NP-C

Nurse Practitioner - Family

NPI 1447614805

Doctor of Nursing Practice, Nurse Practitioner (Certified)

Rachel Tull Brown , ANP

Nurse Practitioner - Gerontology

NPI 1457924490

Adult Nurse Practitioner

Dr. Richard Gay , MD

Specialist

NPI 1760488225

Doctor of Medicine (M.D.)

Dr. Peter Banitt , MD

Internal Medicine - Interventional Cardiology

NPI 1831194737

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

17 Historical Events

⚠️

NPI Profile Deactivated October 17, 2022

Record deactivated on October 17, 2022

✅

NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location March 17, 2018

Registered at 19260 SW 65TH AVE, STE 420, TUALATIN, OR 970625712 (Tel: 5036920405)

📍

Updated Business Mailing Address March 17, 2018

Registered at 847 NE 19TH AVE STE 300, PORTLAND, OR 972322686 (Tel: (503) 963-2801)

👤

Provider Name / Credentials Updated March 17, 2018

Recorded as MIGUEL GOMEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Specialist (License #MD23251 in OR)

✅

NPI Profile Active September 01, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address September 01, 2017

Registered at 847 NE 19TH AVE STE 300, PORTLAND, OR 972322686 (Tel: (503) 963-2801)

📍

Updated Practice Location September 01, 2017

Registered at 19260 SW 65TH AVE, STE 420, TUALATIN, OR 970625712 (Tel: 5036920405)

👤

Provider Name / Credentials Updated September 01, 2017

Recorded as MIGUEL GOMEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2017

Specialist (License #MD23251 in OR)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 19260 SW 65TH AVE, STE 420, TUALATIN, OR 970625712 (Tel: 5036920405)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1040 NW 22ND AVE, STE 660, PORTLAND, OR 972103083 (Tel: 5036920405)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MIGUEL GOMEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #MD23251 in OR)

🟢

Initial NPI Registration & Enumeration June 16, 2005

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: 1760487714

Entity Type:

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

Enumeration Date: June 16, 2005

Last Update: July 08, 2007

Deactivation Date: October 17, 2022

Update or Correct Profile

Mailing Address

1040 Nw 22nd Ave, Ste 660

Portland, OR 972103083

Phone: 5036920405

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.