RICHARD FORBES GORMAN JR. MD
NPI 1033165246
Internal Medicine - Hematology & Oncology in New Bern, NC

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
84.51/100
CMS Quality Rating
2000 NEUSE BLVD, NEW BERN, NC 28560(252) 636-5135(252) 636-5395 Get Directions Write a Review

NPPES record last updated: January 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2020, May 26, 2017 (2 updates tracked since 2017).

About Richard Forbes Gorman Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD FORBES GORMAN JR. MD (NPI 1033165246) is an individual hematology & oncology provider in New Bern, North Carolina, licensed in North Carolina (9900232) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of Wake Forest University School Of Medicine (1997).

NPPES Registry Identity

NPI1033165246
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameRICHARD FORBES GORMAN JR.Credential: MD
Location Address2000 NEUSE BLVDNew Bern, NC 28560-3449
Mailing AddressPo Box 12248New Bern, NC 28561-2248 · (252) 636-5135 · Fax (252) 636-5395
Fax(252) 636-5395
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 1997
Enumeration DateMay 26, 2006
Last NPPES UpdateJanuary 20, 20202 updates tracked since enumeration
NPI 1033165246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NC · 9900232
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 9900232 (NC)
2000 NEUSE BLVD, New Bern, NC 28560

Other Identifiers 2

Other133V2NC · Bcbs Of Nc
Medicaid89133V2NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Richard Forbes Gorman Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749202240
PECOS Enrollment IDI20051227000686
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
756 services312 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
482 services344 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
196 services67 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
174 services104 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
71 services64 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
58 services58 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340131
Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28560 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality98.58
Improvement Activities0
Cost85.55

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$92.05 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims747 services$0.94 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$32.12 avg. paid by Medicare
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
1 supplier26 claims78 services$36.48 avg. paid by Medicare
Breast prosthesis, mastectomy form L8020
DME-Orthotic Devices · category DF000N
1 supplier14 claims19 services$189.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
2000 NEUSE BLVD
NEW BERN, NC 28560
Physical Therapist
2000 NEUSE BLVD
NEW BERN, NC 28560
Nurse Practitioner
2000 NEUSE BLVD
NEW BERN, NC 28560
Speech-Language Pathologist
2000 NEUSE BLVD
NEW BERN, NC 28560
Speech-Language Pathologist
2000 NEUSE BLVD
NEW BERN, NC 28560
Nurse Anesthetist, Certified Registered
2000 NEUSE BLVD
NEW BERN, NC 28560
Internal Medicine
2000 NEUSE BLVD
NEW BERN, NC 28560
Registered Nurse (Emergency)
2000 NEUSE BLVD
NEW BERN, NC 28560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Gorman's NPI number?

The NPI number for Richard Gorman is 1033165246. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Richard Gorman located?

Richard Gorman practices at 2000 Neuse Blvd, New Bern, NC 28560. The listed phone number is (252) 636-5135.

What is Richard Gorman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Richard Gorman enrolled in Medicare?

Yes. Richard Gorman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Richard Gorman accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Richard Gorman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Richard Gorman affiliated with any hospitals?

According to CMS data, Richard Gorman is affiliated with Unc Hospitals and Carolina East Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Gorman was last updated on January 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.