DR. ROBERT T GORMAN M..D.
NPI 1265592786
Family Medicine in Verona, NJ

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
271 GROVE AVE, SUITE A, VERONA, NJ 07044(973) 239-8805(973) 857-3503 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert T Gorman M..d. NPPES

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

DR. ROBERT T GORMAN M..D. (NPI 1265592786) is an individual family medicine provider in Verona, New Jersey, licensed in New Jersey (MA42523) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health, Mountainside Medical, and is a graduate of Rutgers New Jersey Medical School (1982).

NPPES Registry Identity

NPI1265592786
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROBERT T GORMANCredential: M..D.
Location Address271 GROVE AVE, SUITE AVerona, NJ 07044-1730
Mailing Address271 Grove Ave, Suite AVerona, NJ 07044-1730 · (973) 239-8805 · Fax (973) 857-3503
Fax(973) 857-3503
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1982
Enumeration DateDecember 12, 2006
Last NPPES UpdateMay 20, 2008
NPI 1265592786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NJ · MA42523
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
271 GROVE AVE, Verona, NJ 07044

Other Identifiers 2

Medicare PIN526340NJ
Medicare UPINE69506NJ

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. Robert T Gorman 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 ID1456397207
PECOS Enrollment IDI20101207000210
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 14

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
382 services382 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
358 services357 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.
338 services316 patients
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.
329 services247 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
268 services268 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
254 services254 patients

Hospital Affiliations CMS Care Compare

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

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07044 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers32 claims64 services$5.55 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier12 claims12 services$9.46 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$13.33 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 11

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

Family Medicine
271 GROVE AVE, SUITE A
VERONA, NJ 07044
Registered Nurse
271 GROVE AVE, SUITE A
VERONA, NJ 07044
Specialist
271 GROVE AVE, BUILDING C
VERONA, NJ 07044
Nurse Practitioner (Family)
271 GROVE AVE, SUITE A
VERONA, NJ 07044
Nurse Practitioner (Adult Health)
271 GROVE AVE
VERONA, NJ 07044
Physician Assistant
271 GROVE AVE
VERONA, NJ 07044
Family Medicine
271 GROVE AVE, SUITE A
VERONA, NJ 07044
Family Medicine
271 GROVE AVE, SUITE A
VERONA, NJ 07044

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 Robert Gorman's NPI number?

The NPI number for Robert Gorman is 1265592786. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Robert Gorman located?

Robert Gorman practices at 271 Grove Ave Suite A, Verona, NJ 07044. The listed phone number is (973) 239-8805.

What is Robert Gorman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Gorman enrolled in Medicare?

Yes. Robert 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.

Is Robert Gorman affiliated with any hospitals?

According to CMS data, Robert Gorman is affiliated with Hackensack Meridian Health, Mountainside Medical.

When was this NPI record last updated?

The NPPES record for Robert Gorman was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.