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GAIL PORAT
NPI 1275726697
Internal Medicine - Gastroenterology in Marlton, NJ

Active since August 20, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
406 LIPPINCOTT DR STE E, MARLTON, NJ 08053(856) 983-1900 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2024, Nov 2, 2020 (2 updates tracked since 2020).

About Gail Porat NPPES

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

GAIL PORAT (NPI 1275726697) is an individual gastroenterology provider in Marlton, New Jersey, licensed in New Jersey (25MA10230400) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (2004).

NPPES Registry Identity

NPI1275726697
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameGAIL PORAT
Location Address406 LIPPINCOTT DR STE EMarlton, NJ 08053-4168
Mailing Address35 Old Stevens LnVoorhees, NJ 08043-3417 · (516) 242-7624
Phone(856) 983-1900
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2004
Enumeration DateAugust 20, 2007
Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1275726697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in NJ · 25MA10230400✔ Licensed in PA · MD432112
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
406 LIPPINCOTT DR STE E, Marlton, NJ 08053
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Gail Porat 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 ID5698865111
PECOS Enrollment IDI20180629001235
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 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.
284 services214 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
134 services134 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.
103 services103 patients
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.
95 services89 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
78 services78 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.
74 services74 patients

Hospital Affiliations CMS Care Compare 3

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08053 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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

Other Providers at the Same Location NPPES 4

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

STACEY RENE ZAVALA MD
Internal Medicine (Gastroenterology)
406 LIPPINCOTT DR STE E
MARLTON, NJ 08053
Burlington County (856) 983-1900
ANDREW BENSINGER
Internal Medicine (Gastroenterology)
406 LIPPINCOTT DR STE E
MARLTON, NJ 08053
Burlington County (856) 983-1900
JARED LANDER
Internal Medicine (Gastroenterology)
406 LIPPINCOTT DR STE E
MARLTON, NJ 08053
Burlington County (856) 983-1900
ADVOCARE LLC
Internal Medicine (Gastroenterology)
406 LIPPINCOTT DR STE E
MARLTON, NJ 08053
Burlington County (856) 983-1900

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 Gail Porat's NPI number?

The NPI number for Gail Porat is 1275726697. It was assigned to this individual provider in the NPPES registry on August 20, 2007.

Where is Gail Porat located?

Gail Porat practices at 406 Lippincott Dr Ste E, Marlton, NJ 08053. The listed phone number is (856) 983-1900.

What is Gail Porat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gail Porat enrolled in Medicare?

Yes. Gail Porat 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 Gail Porat accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Gail Porat 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 Gail Porat affiliated with any hospitals?

According to CMS data, Gail Porat is affiliated with West Jersey Hospital, Virtua Our Lady Of Lourdes Hospital and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Gail Porat was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.