MEGHANA GORE MD
NPI 1255644530
Hospitalist in Rochester, NY

Active since July 15, 2010PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
1425 PORTLAND AVE # 287, ROCHESTER, NY 14621(585) 922-5067(585) 922-2908 Get Directions Write a Review

NPPES record last updated: May 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Meghana Gore Md NPPES

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

MEGHANA GORE MD (NPI 1255644530) is an individual hospitalist provider in Rochester, New York, licensed in New York (284447) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1255644530
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameMEGHANA GORECredential: MD
Location Address1425 PORTLAND AVE # 287Rochester, NY 14621
Mailing Address1425 Portland Ave # 287Rochester, NY 14621-3095 · (585) 922-5067 · Fax (585) 922-2908
Fax(585) 922-2908
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 15, 2010
Last NPPES UpdateMay 25, 2018
NPI 1255644530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NY · 284447
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1425 PORTLAND AVE # 287, Rochester, NY 14621

Other Names 1

Former Name (1)Meghana Jadhav Mbbs

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

Meghana Gore Md 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 ID3678701620
PECOS Enrollment IDI20140121000333
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
230 services86 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
176 services98 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
31 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
96%191 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$17.47 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$83.29 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 9

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

Hospitalist
1425 PORTLAND AVE # 287
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE # 287
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE # 287
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE # 287
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE # 287
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE # 287
ROCHESTER, NY 14621
Internal Medicine
1425 PORTLAND AVE # 287
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE # 287
ROCHESTER, NY 14621

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 Meghana Gore's NPI number?

The NPI number for Meghana Gore is 1255644530. It was assigned to this individual provider in the NPPES registry on July 15, 2010. The provider is also known as Meghana Jadhav Mbbs.

Where is Meghana Gore located?

Meghana Gore practices at 1425 Portland Ave # 287, Rochester, NY 14621. The listed phone number is (585) 922-5067.

What is Meghana Gore's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Meghana Gore enrolled in Medicare?

Yes. Meghana Gore 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 Meghana Gore accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Meghana Gore 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 Meghana Gore affiliated with any hospitals?

According to CMS data, Meghana Gore is affiliated with Memorial Hermann - Texas Medical Center.

When was this NPI record last updated?

The NPPES record for Meghana Gore was last updated on May 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.