DR. RICHARD JOHN GORMAN JR. D.O.
NPI 1235475476
Neurological Surgery in Kettering, OH

Active since December 17, 2012PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
3700 SOUTHERN BLVD STE 300, KETTERING, OH 45429(937) 643-9299(937) 643-2343 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2021, Mar 7, 2019 (2 updates tracked since 2019).

About Dr. Richard John Gorman Jr. D.o. NPPES

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

DR. RICHARD JOHN GORMAN JR. D.O. (NPI 1235475476) is an individual neurological surgery provider in Kettering, Ohio, licensed in Ohio (34.009944) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1235475476
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. RICHARD JOHN GORMAN JR.Credential: D.O.
Location Address3700 SOUTHERN BLVD STE 300Kettering, OH 45429-1226
Mailing Address3700 Southern Blvd Ste 300Kettering, OH 45429-1226 · (937) 643-9299 · Fax (937) 643-2343
Fax(937) 643-2343
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 17, 2012
Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
NPI 1235475476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in OH · 34.009944
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
3700 SOUTHERN BLVD STE 300, Kettering, OH 45429

Other Identifiers 1

Medicaid0099789OH

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

Dr. Richard John Gorman Jr. D.o. 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 ID8729225594
PECOS Enrollment IDI20140612001713
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 9

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.
103 services84 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
24 services11 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
23 services13 patients
Computer-assisted spinal procedure 61783
A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.
23 services23 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
21 services19 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.
21 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Fort Hamilton Hughes Memorial Hospital

Acute Care Hospitals · Hamilton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360132
Location630 Eaton AvenueHamilton, OH 45013 · Butler County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

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.

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier18 claims18 services$3,767.82 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 20

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

Neurological Surgery
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Physician Assistant
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Nurse Practitioner (Family)
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Nurse Practitioner (Family)
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Physician Assistant
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Physician Assistant
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Physician Assistant
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Clinical Nurse Specialist (Adult Health)
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429

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 Richard Gorman's NPI number?

The NPI number for Richard Gorman is 1235475476. It was assigned to this individual provider in the NPPES registry on December 17, 2012.

Where is Richard Gorman located?

Richard Gorman practices at 3700 Southern Blvd Ste 300, Kettering, OH 45429. The listed phone number is (937) 643-9299.

What is Richard Gorman's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Richard Gorman enrolled in Medicare?

Yes. Richard 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 Richard Gorman accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Richard 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 Richard Gorman affiliated with any hospitals?

According to CMS data, Richard Gorman is affiliated with Kettering Health Main Campus, Fort Hamilton Hughes Memorial Hospital, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Gorman was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.