TAMARA D GORMAN
NPI 1154953099
Nurse Practitioner - Family in Terre Haute, IN

Q: What is Tamara Gorman's NPI number?

The NPI number for Tamara Gorman is 1154953099. It was assigned to this individual provider in the NPPES registry on February 9, 2020. The provider is also known as Tamara D Mettler.

Q: What is Tamara Gorman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tamara Gorman was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since February 09, 2020PECOS EnrolledAccepts Medicare Assignment

3560 S 4TH ST, TERRE HAUTE, IN 47802(812) 235-8496 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 26, 2024, Jul 18, 2024, Oct 6, 2021 and 2 more (5 updates tracked since 2020).

On this page

About Tamara D Gorman NPPES

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

TAMARA D GORMAN (NPI 1154953099) is an individual family provider in Terre Haute, Indiana, licensed in Illinois (209027013) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1154953099

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTAMARA D GORMAN

Location Address3560 S 4TH STTerre Haute, IN 47802-5540

Mailing Address3560 S 4th StTerre Haute, IN 47802-5540 · (812) 235-8496 · Fax (812) 478-1540

Phone(812) 235-8496

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 9, 2020

Last NPPES UpdateDecember 26, 20245 updates tracked since enumeration

NPPES CertifiedDecember 26, 2024

✔ NPI 1154953099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209027013

Also ListedRegistered NurseTaxonomy 163W00000X · License 28249915A (IN)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 71009794A (IN)

3560 S 4TH ST, Terre Haute, IN 47802

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Other Names 1

Former Name (1)Tamara D Mettler

Secondary Practice Locations 7

Location 11935 N Capitol AveIndianapolis, IN 46202-6403 · Phone (812) 235-8496

Location 22224 Lafayette AveTerre Haute, IN 47805-2916 · Phone (812) 235-8496

Location 3191 Harding AveTerre Haute, IN 47807-3413 · Phone (812) 235-8496

Location 4645 S Central AveChicago, IL 60644-5059 · Phone (812) 235-8496

Location 5463 S Park Ridge RdBloomington, IN 47401-8589 · Phone (812) 235-8496

Location 6200 Richmond Ave E Ste 3Mattoon, IL 61938-4652 · Phone (217) 234-7000 · Fax (217) 234-2060

Location 7650 W Taylor StVandalia, IL 62471-1227 · Phone (618) 283-1231 · Fax (618) 283-1317

Accepted Insurance

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

Tamara D Gorman 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 ID4082041025

PECOS Enrollment IDI20230418000287

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

Medicare enrollment records show Tamara Gorman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hpw Center For Diabetes, LLC

Same address

Endocrinology, Diabetes & Metabolism

3560 S 4TH ST
Terre Haute, IN 47802

Reassigned Medicare billing, Illinois enrollment
4 clinicians in this Medicare group

NPI 1043680515 (812) 235-8496

Sarah Bush Lincoln Health Center

46 mi

Family Medicine

1000 HEALTH CENTER DR
Mattoon, IL 61938

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1912988734 (Illinois)
652 clinicians in this Medicare group

NPI 1568581379 (217) 258-2525

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 8

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.

341 services194 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.

145 services113 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

117 services87 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

74 services52 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

32 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL

OwnershipVoluntary non-profit - Other

CMS Certification Number141346

Location650 W Taylor StVandalia, IL 62471 · Fayette County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47802 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers42 claims42 services$186.82 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 7

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

BRISEIDA OCEGUERA PEREZ PA-C

Physician Assistant (Medical)