ANDREW GORMAN DO
NPI 1265403513
Psychiatry & Neurology - Neurology in Sun City, AZ

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
28.56/100
CMS Quality Rating
10474 W THUNDERBIRD BLVD, STE 200, SUN CITY, AZ 85351(855) 506-3876(855) 523-0513 Get Directions Write a Review

NPPES record last updated: March 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew Gorman Do NPPES

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

ANDREW GORMAN DO (NPI 1265403513) is an individual neurology provider in Sun City, Arizona, licensed in Arizona (3871) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1265403513
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameANDREW GORMANCredential: DO
Location Address10474 W THUNDERBIRD BLVD, STE 200Sun City, AZ 85351-3015
Mailing AddressPo Box 2099, 85372-2099Sun City, AZ 85372-2099 · (855) 506-3876 · Fax (855) 523-0513
Fax(855) 523-0513
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJanuary 26, 2006
Last NPPES UpdateMarch 17, 2016
NPI 1265403513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in AZ · 3871
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedSpecialistTaxonomy 174400000X · License 3871 (AZ)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 3871 (AZ)
Also ListedPsychiatry & Neurology · Pain MedicineTaxonomy 2084P2900X · License 3871 (AZ)
10474 W THUNDERBIRD BLVD, Sun City, AZ 85351

Other Identifiers 2

Medicaid779308AZ
Medicare PINZ171242AZ

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

Andrew Gorman Do 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 ID7810958535
PECOS Enrollment IDI20041025001058
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 30

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.
1,141 services840 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
486 services219 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.
335 services335 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.
213 services186 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
152 services146 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
144 services143 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85351 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

28.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost95.2

Other Providers at the Same Location NPPES 13

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

Psychiatry & Neurology (Clinical Neurophysiology)
10474 W THUNDERBIRD BLVD, SUITE 200
SUN CITY, AZ 85351
Psychiatry & Neurology (Neurology)
10474 W THUNDERBIRD BLVD, #200
SUN CITY, AZ 85351
Physical Therapist
10474 W THUNDERBIRD BLVD, SUITE 200
SUN CITY, AZ 85351
Clinic/Center (Sleep Disorder Diagnostic)
10474 W THUNDERBIRD BLVD, SUITE 200
SUN CITY, AZ 85351
Clinic/Center (Radiology)
10474 W THUNDERBIRD BLVD, SUITE 100
SUN CITY, AZ 85351
Physical Therapist
10474 W THUNDERBIRD BLVD
SUN CITY, AZ 85351
Psychiatry & Neurology (Neurology)
10474 W THUNDERBIRD BLVD, SUITE 200
SUN CITY, AZ 85351
Psychiatry & Neurology (Neurology)
10474 W THUNDERBIRD BLVD, STE 200
SUN CITY, AZ 85351

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 Andrew Gorman's NPI number?

The NPI number for Andrew Gorman is 1265403513. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Andrew Gorman located?

Andrew Gorman practices at 10474 W Thunderbird Blvd Ste 200, Sun City, AZ 85351. The listed phone number is (855) 506-3876.

What is Andrew Gorman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Andrew Gorman enrolled in Medicare?

Yes. Andrew 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 Andrew Gorman accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Andrew 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.

When was this NPI record last updated?

The NPPES record for Andrew Gorman was last updated on March 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.