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DR. GORDON BRUCE HEALEY M.D.
NPI 1164427662
Urology in Port Arthur, TX

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment
99.01/100
CMS Quality Rating
3180 CENTRAL MALL DR, PORT ARTHUR, TX 77642(409) 729-6231(409) 727-6537 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Gordon Bruce Healey M.d. NPPES

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

DR. GORDON BRUCE HEALEY M.D. (NPI 1164427662) is an individual urology provider in Port Arthur, Texas, licensed in Texas (E2602) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and is a graduate of Tulane University School Of Medicine (1974).

NPPES Registry Identity

NPI1164427662
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. GORDON BRUCE HEALEYCredential: M.D.
Location Address3180 CENTRAL MALL DRPort Arthur, TX 77642-8039
Mailing Address3180 Central Mall DrPort Arthur, TX 77642-8039 · (409) 729-6231 · Fax (409) 727-6537
Phone(409) 729-6231
Fax(409) 727-6537
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 1974
Enumeration DateJune 20, 2005
Last NPPES UpdateJanuary 11, 2011
✔ NPI 1164427662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in TX · E2602
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

3180 CENTRAL MALL DR, Port Arthur, TX 77642
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Other Identifiers 3

Medicare UPINC16750TX
Medicaid115344702TX
Medicare ID-Type Unspecified87A307TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Dr. Gordon Bruce Healey 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 ID5991757171
PECOS Enrollment IDI20120223000972
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 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.
615 services309 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
605 services300 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
86 services79 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients
Complex measurement of pressure of urine flow in bladder with voiding pressure studies 51728
This procedure measures the pressure in your bladder as it fills and empties. It helps to understand how well your bladder is functioning. Sensors record pressure levels during these processes, providing valuable data for your doctor.
11 services11 patients
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784
This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450034
Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77642 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
$124.88 typical visit price
range $54.04 – $164.93
Typical copayment $31.22 (range $13.51 – $41.23)
Most-billed visit code 99204
Established Patient
$67.64 typical visit price
range $17.17 – $134.47
Typical copayment $16.91 (range $4.29 – $33.61)
Most-billed visit code 99213
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.

99.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality98.03
Improvement Activities40

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%51 patients
Closing the Referral Loop: Receipt of Specialist Report
100%24 patients5/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
97%3,045 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
97%1,029 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
97%1,329 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 1,237 patients
Patients screened: 100% · 1,237 patients
96%124 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,063 patients
Patients totalRate: 3% · 1,063 patients
3%1,063 patients4/55-star benchmark: 100%
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.

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers19 claims780 services$1.71 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 2

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

HEALEY UROLOGY CLINIC, P.A.
Urology
3180 CENTRAL MALL DR
PORT ARTHUR, TX 77642
Jefferson County (409) 729-6231
DR. G SEAN HEALEY M.D.
Urology
3180 CENTRAL MALL DR
PORT ARTHUR, TX 77642
Jefferson County (409) 729-6231

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 Gordon Healey's NPI number?

The NPI number for Gordon Healey is 1164427662. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Gordon Healey located?

Gordon Healey practices at 3180 Central Mall Dr, Port Arthur, TX 77642. The listed phone number is (409) 729-6231.

What is Gordon Healey's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Gordon Healey enrolled in Medicare?

Yes. Gordon Healey 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 Gordon Healey accept?

Health plans from UnitedHealthcare list Gordon Healey 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 Gordon Healey affiliated with any hospitals?

According to CMS data, Gordon Healey is affiliated with Christus Southeast Texas- St Elizabeth.

When was this NPI record last updated?

The NPPES record for Gordon Healey was last updated on January 11, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.