SWATHI GORLE MD
NPI 1134610504
Hospitalist in Flint, MI

Active since May 22, 2018PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
HURLEY MEDICAL CENTER, 1 HURLEY PLAZA, FLINT, MI 48503(810) 262-9080 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Swathi Gorle Md NPPES

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

SWATHI GORLE MD (NPI 1134610504) is an individual hospitalist provider in Flint, Michigan, licensed in Georgia (88728) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Wellstar Spalding Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134610504
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSWATHI GORLECredential: MD
Location AddressHURLEY MEDICAL CENTER, 1 HURLEY PLAZAFlint, MI 48503
Mailing Address601 S 8th StGriffin, GA 30224-4213 · (770) 467-6314 · Fax (770) 467-6324
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 22, 2018
Last NPPES UpdateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
NPI 1134610504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in GA · 88728
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

HURLEY MEDICAL CENTER, 1 HURLEY PLAZA, Flint, MI 48503

Secondary Practice Locations 2

Location 1601 S 8th StGriffin, GA 30224-4213 · Phone (770) 467-6314 · Fax (770) 467-6324
Location 2Hurley medical center, 2 Hurley plaza, suite 212flint, MI 48503 · Phone (810) 262-9080

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

Swathi Gorle 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 ID9436550670
PECOS Enrollment IDI20210625001630
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 6

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.

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.
509 services186 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
160 services63 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
154 services146 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
52 services49 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.
27 services27 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
18 services12 patients

Hospital Affiliations CMS Care Compare

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

Wellstar Spalding Medical Center

Acute Care Hospitals · Griffin, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110031
Location601 South 8th StreetGriffin, GA 30224 · Spalding County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48503 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier30 claims30 services$16.72 avg. paid by Medicare
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 supplier30 claims30 services$80.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Swathi Gorle's NPI number?

The NPI number for Swathi Gorle is 1134610504. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Swathi Gorle located?

Swathi Gorle practices at Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503. The listed phone number is (810) 262-9080.

What is Swathi Gorle's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Swathi Gorle enrolled in Medicare?

Yes. Swathi Gorle 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.

Is Swathi Gorle affiliated with any hospitals?

According to CMS data, Swathi Gorle is affiliated with Wellstar Spalding Medical Center.

When was this NPI record last updated?

The NPPES record for Swathi Gorle was last updated on October 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.