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CLARE GOSEK M.D.
NPI 1104230929
Family Medicine in Lawrenceville, NJ

Active since June 19, 2014PECOS EnrolledAccepts Medicare Assignment
4056 QUAKERBRIDGE RD STE 101, LAWRENCEVILLE, NJ 08648(609) 528-9150(609) 528-9151 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2021, Apr 30, 2021, Oct 15, 2020 and 1 more (4 updates tracked since 2018).

About Clare Gosek M.d. NPPES

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

CLARE GOSEK M.D. (NPI 1104230929) is an individual family medicine provider in Lawrenceville, New Jersey, licensed in New Jersey (25MA11045400) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104230929
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCLARE GOSEKCredential: M.D.
Location Address4056 QUAKERBRIDGE RD STE 101Lawrenceville, NJ 08648-4779
Mailing Address4056 Quakerbridge Rd, Ste 101Lawrenceville, NJ 08648-4779
Phone(609) 528-9150
Fax(609) 528-9151
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 19, 2014
Last NPPES UpdateMay 14, 20214 updates tracked since enumeration
NPPES CertifiedMay 14, 2021
✔ NPI 1104230929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NJ · 25MA11045400✔ Licensed in VA · 0116026870
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4056 QUAKERBRIDGE RD STE 101, Lawrenceville, NJ 08648
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clare Gosek M.d. 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 ID1254633803
PECOS Enrollment IDI20210504002158, I20210803000083
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Clare Gosek reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Capital Health Medical Group
5.2 mi
Internal Medicine
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
  • 581 clinicians in this Medicare group
NPI 1437516887 (609) 815-7829
Privia Medical Group, LLC
162 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850
Inova Physician Partners, LLC
175 mi
Family Medicine
3914 CENTREVILLE RD, SUITE 250
Chantilly, VA 20151
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 379 clinicians in this Medicare group
NPI 1215264916 (703) 321-2609

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.
243 services158 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
133 services133 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.
55 services47 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
38 services38 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
38 services38 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
38 services38 patients

Hospital Affiliations CMS Care Compare 4

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390203
Location595 West State StDoylestown, PA 18901 · Bucks County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08648 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%3,572 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
23%352 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%421 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
79%2,976 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%2,919 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
77%2,919 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
75%2,919 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

DR. KIMBERLY ANNE LEVITT M.D., M.P.H.
Family Medicine
4056 QUAKERBRIDGE RD STE 101
LAWRENCEVILLE, NJ 08648
Mercer County (609) 528-9150
DR. YCE CHUNG M.D.
Family Medicine
4056 QUAKERBRIDGE RD STE 101, CAPITAL HEALTH PRIMARY CARE @ QUAKERBRIDGE
LAWRENCEVILLE, NJ 08648
Mercer County (609) 528-9150
NICOLE M SCHMID DAVIS PAC
Physician Assistant
4056 QUAKERBRIDGE RD STE 101
LAWRENCEVILLE, NJ 08648
Mercer County (609) 528-9150
VISHNU ORUGANTI
Internal Medicine
4056 QUAKERBRIDGE RD STE 101
LAWRENCEVILLE, NJ 08648
Mercer County (609) 528-9150
JOSEPH M GUARINO DO
Family Medicine
4056 QUAKERBRIDGE RD STE 101
LAWRENCEVILLE, NJ 08648
Mercer County (609) 528-9150
DR. NAILA WASTI M.D.
Internal Medicine
4056 QUAKERBRIDGE RD STE 101
LAWRENCEVILLE, NJ 08648
Mercer County (609) 528-9150
DENNIS CHRISTOPHER GUEST DO
Family Medicine
4056 QUAKERBRIDGE RD STE 101
LAWRENCE TOWNSHIP, NJ 08648
Mercer County (609) 528-9150

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 Clare Gosek's NPI number?

The NPI number for Clare Gosek is 1104230929. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Where is Clare Gosek located?

Clare Gosek practices at 4056 Quakerbridge Rd Ste 101, Lawrenceville, NJ 08648. The listed phone number is (609) 528-9150.

What is Clare Gosek's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Clare Gosek enrolled in Medicare?

Yes. Clare Gosek 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.

Which organizations bill Medicare for Clare Gosek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clare Gosek reassigns Medicare benefits to 3 organizations: Capital Health Medical Group (Trenton, NJ), Privia Medical Group, LLC (Arlington, VA) and Inova Physician Partners, LLC (Chantilly, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clare Gosek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clare Gosek accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Clare Gosek 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 Clare Gosek affiliated with any hospitals?

According to CMS data, Clare Gosek is affiliated with Capital Health Medical Center - Hopewell, Hospital Of Univ Of Pennsylvania, Doylestown Hospital and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Clare Gosek was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.