DR. MATTHEW GORMLEY M.D.
NPI 1235324385
Internal Medicine in Croswell, MI
About Dr. Matthew Gormley M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MATTHEW GORMLEY M.D. (NPI 1235324385) is an individual internal medicine provider in Croswell, Michigan, licensed in Michigan (4301090708) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Mclaren Port Huron, and is a graduate of Wayne State University School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Dr. Matthew Gormley 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.
Medicare Billing Reassignments
2Medicare enrollment records show Matthew Gormley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sandusky, MI 48471
- Reassigned Medicare billing, Michigan enrollment
- 29 clinicians in this Medicare group
Royal Oak, MI 48067
- Reassigned Medicare billing, Michigan enrollment
- 97 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mclaren Port Huron
Acute Care Hospitals · Port Huron, MIMckenzie Health System
Critical Access Hospitals · Sandusky, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Matthew Gormley's NPI number?
The NPI number for Matthew Gormley is 1235324385. It was assigned to this individual provider in the NPPES registry on September 12, 2007.
Where is Matthew Gormley located?
Matthew Gormley practices at 8 N Howard Ave, Croswell, MI 48422. The listed phone number is (810) 679-0012.
What is Matthew Gormley's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Matthew Gormley enrolled in Medicare?
Yes. Matthew Gormley 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 Matthew Gormley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Gormley reassigns Medicare benefits to 2 organizations: Mckenzie Memorial Hospital (Sandusky, MI) and Sciometrix LLC (Royal Oak, MI). 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 Matthew Gormley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Gormley accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Matthew Gormley 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 Matthew Gormley affiliated with any hospitals?
According to CMS data, Matthew Gormley is affiliated with Mclaren Port Huron and Mckenzie Health System.
When was this NPI record last updated?
The NPPES record for Matthew Gormley was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Matthew Gormley, M.D. · NPI 1235324385
Internal Medicine physician in Croswell, Michigan. Individual provider, active in the CMS NPPES registry since September 12, 2007.
## Identity
- **NPI:** 1235324385 (Entity type: Individual)
- **Enumerated:** September 12, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 4301090708 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8 N HOWARD AVE, Croswell, MI 48422-1221
- **Phone:** (810) 679-0012 · **Fax:** (810) 679-0004
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mckenzie Memorial Hospital (NPI 1497750608, Sandusky, MI); Sciometrix LLC (NPI 1619649894, Royal Oak, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** February 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1235324385) · Data from the CMS NPPES public registry.