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

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: August 09, 2026.

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

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
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

Other Names 1

Former Name (1)Tamara D Mettler

Secondary Practice Locations 7

Location 1650 W Taylor StVandalia, IL 62471-1227 · Phone (618) 283-1231 · Fax (618) 283-1317
Location 2200 Richmond Ave E Ste 3Mattoon, IL 61938-4652 · Phone (217) 234-7000 · Fax (217) 234-2060
Location 31935 N Capitol AveIndianapolis, IN 46202-6403 · Phone (812) 235-8496
Location 42224 Lafayette AveTerre Haute, IN 47805-2916 · Phone (812) 235-8496
Location 5191 Harding AveTerre Haute, IN 47807-3413 · Phone (812) 235-8496
Location 6645 S Central AveChicago, IL 60644-5059 · Phone (812) 235-8496
Location 7463 S Park Ridge RdBloomington, IN 47401-8589 · Phone (812) 235-8496

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

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.

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.

Physician Assistant (Medical)
3560 S 4TH ST
TERRE HAUTE, IN 47802
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3560 S 4TH ST
TERRE HAUTE, IN 47802
Nurse Practitioner (Psychiatric/Mental Health)
3560 S 4TH ST
TERRE HAUTE, IN 47802
Nurse Practitioner (Family)
3560 S 4TH ST
TERRE HAUTE, IN 47802
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3560 S 4TH ST
TERRE HAUTE, IN 47802
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3560 S 4TH ST
TERRE HAUTE, IN 47802
Nurse Practitioner
3560 S 4TH ST
TERRE HAUTE, IN 47802

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 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.

Where is Tamara Gorman located?

Tamara Gorman practices at 3560 S 4th St, Terre Haute, IN 47802. The listed phone number is (812) 235-8496.

What is Tamara Gorman's specialty?

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

Is Tamara Gorman enrolled in Medicare?

Yes. Tamara 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 Tamara Gorman accept?

Health plans from CareSource list Tamara 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 Tamara Gorman affiliated with any hospitals?

According to CMS data, Tamara Gorman is affiliated with Sarah Bush Lincoln Health Center and Fayette County Hospital.

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 19 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.