MARI GORGA P.A.-C
NPI 1275868259
Physician Assistant in Alameda, CA

Active since October 09, 2009PECOS EnrolledAccepts Medicare Assignment
79.65/100
CMS Quality Rating
430 WILLOW ST, ALAMEDA, CA 94501(888) 380-0988(833) 992-2313 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mari Gorga P.a.-c NPPES

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

MARI GORGA P.A.-C (NPI 1275868259) is an individual physician assistant in Alameda, California, licensed in California (61622) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1275868259
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARI GORGACredential: P.A.-C
Location Address430 WILLOW STAlameda, CA 94501-6130
Mailing Address2950 Buskirk Ave Ste 300Walnut Creek, CA 94597-6900 · (888) 380-0988 · Fax (289) 236-3022
Fax(833) 992-2313
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 9, 2009
Last NPPES UpdateNovember 15, 2022
NPPES CertifiedNovember 15, 2022
NPI 1275868259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CA · 61622 Licensed in MI · 5601005621
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
430 WILLOW ST, Alameda, CA 94501

Secondary Practice Locations 3

Location 1300 Neal StPleasanton, CA 94566-7317 · Phone (888) 380-0988 · Fax (833) 992-2313
Location 221966 Dolores StCastro Valley, CA 94546-6900 · Phone (888) 380-0988 · Fax (833) 992-2313
Location 3210 40th Street WayOakland, CA 94611-5612 · Phone (888) 380-0988 · Fax (833) 992-2313

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

Mari Gorga P.a.-c 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 ID8729103569
PECOS Enrollment IDI20221115001674
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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,733 services315 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
605 services158 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
141 services138 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
113 services108 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94501 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

79.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality24.13
Improvement Activities40
Cost100

Reported Quality Measures

Documentation of Current Medications in the Medical Record
1%2,362 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
59%357 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%399 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,524 patients1/55-star benchmark: 61%
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

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers37 claims37 services$4.51 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.

Occupational Therapy Assistant
430 WILLOW ST
ALAMEDA, CA 94501
Skilled Nursing Facility
430 WILLOW ST
ALAMEDA, CA 94501
Rehabilitation Unit
430 WILLOW ST
ALAMEDA, CA 94501
Occupational Therapist
430 WILLOW ST
ALAMEDA, CA 94501
Occupational Therapist
430 WILLOW ST
ALAMEDA, CA 94501
Physical Therapist
430 WILLOW ST
ALAMEDA, CA 94501
Occupational Therapist
430 WILLOW ST
ALAMEDA, CA 94501
Skilled Nursing Facility
430 WILLOW ST
ALAMEDA, CA 94501

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 Mari Gorga's NPI number?

The NPI number for Mari Gorga is 1275868259. It was assigned to this individual provider in the NPPES registry on October 9, 2009.

Where is Mari Gorga located?

Mari Gorga practices at 430 Willow St, Alameda, CA 94501. The listed phone number is (888) 380-0988.

What is Mari Gorga's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mari Gorga enrolled in Medicare?

Yes. Mari Gorga 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 Mari Gorga accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mari Gorga 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 Mari Gorga was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.