Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508851023 Individual Practitioner Male Practitioner

Michael Angel Gonzalez , PA

Physician Assistant • Sayre, PA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Michael Gonzalez, PA is a registered healthcare professional specializing in Physician Assistant in Sayre, PA. Official NPI practice address is registered at 1 GUTHRIE SQ.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Guthrie Sq

Sayre, PA 188401699

Telephone 5708885858
Associated Practice Facility / Clinic
🏢 Robert Packer Hospital Facility NPI 1083614382

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sayre, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
51 Specialists

Practicing in Sayre, PA (8068 Statewide)

Telehealth Adoption Rate
23.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.2% 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 (2021)
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
111 111 $225.00 $109.45
81003 Automated urinalysis test
106 99 $20.00 $2.25
99213 Established patient office or other outpatient visit, typically 15 minutes
105 93 $153.00 $77.08
51798 Ultrasound measurement of bladder capacity after voiding
77 72 $71.00 $10.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
18 18 $110.00 $47.34
36415 Insertion of needle into vein for collection of blood sample
15 14 $17.00 $3.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
14 14 $365.00 $133.66

Medical Specialties & State Licenses

CMS Verified: 2021-03-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 0001011

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License NY 0001011

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01270180 (NY)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Danielle Terry

Psychologist

NPI 1003107459
Dr. Phillip Lunsford , MD

Emergency Medicine

NPI 1003182916

Doctor of Medicine (M.D.)

Dr. Donna Tamkin , MD

Radiology - Diagnostic Radiology

NPI 1003864281

Doctor of Medicine (M.D.)

NPI 1003888967

Doctor of Medicine (M.D.)

Emily Oberst , PA-C

Physician Assistant

NPI 1003888983

Physician Assistant (Certified)

Dr. Michael Depersis , DO

Internal Medicine

NPI 1013215896

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 14, 2021

Registered at 1 GUTHRIE SQ, SAYRE, PA 188401699 (Tel: 5708885858)

📍
Updated Business Mailing Address March 14, 2021

Registered at 1 GUTHRIE SQ, SAYRE, PA 188401699 (Tel: 5708885858)

NPI Profile Active June 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2016

Registered at 301 HOFFMAN ST, ELMIRA, NY 149052220 (Tel: 6077331156)

📍
Updated Business Mailing Address June 10, 2016

Registered at 571 SAINT JOSEPHS BLVD FL 2, ARNOT MEDICAL SERVICES, PLLC, ELMIRA, NY 149013230 (Tel: 6072712050)

👤
Provider Name / Credentials Updated June 10, 2016

Recorded as MICHAEL GONZALEZ, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2016

Physician Assistant (License #0001011 in NY)

🟢
Initial NPI Registration & Enumeration September 12, 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: 1508851023
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2005
Last Update: March 14, 2021
Sole Proprietor: No

Mailing Address

1 Guthrie Sq

Sayre, PA 188401699

Phone: 5708885858

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.