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GEOFFREY J. GORSE M.D.
NPI 1285647115
Internal Medicine - Infectious Disease in Saint Louis, MO

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
1225 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 577-8000(314) 977-9196 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Geoffrey J. Gorse M.d. NPPES

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

GEOFFREY J. GORSE M.D. (NPI 1285647115) is an individual infectious disease provider in Saint Louis, Missouri, licensed in Missouri (R4J28) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and is a graduate of University Of California, Geffen School Of Medicine (1977).

NPPES Registry Identity

NPI1285647115
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameGEOFFREY J. GORSECredential: M.D.
Location Address1225 S GRAND BLVDSaint Louis, MO 63104-1016
Mailing Address1100 S Grand Blvd, Drc-8Saint Louis, MO 63104-1015 · (314) 977-5500 · Fax (314) 771-3816
Phone(314) 577-8000
Fax(314) 977-9196
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1977
Enumeration DateAugust 14, 2006
Last NPPES UpdateJanuary 28, 2021
NPPES CertifiedJanuary 28, 2021
✔ NPI 1285647115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in MO · R4J28✔ Licensed in CA · G37510
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1225 S GRAND BLVD, Saint Louis, MO 63104
Open in Google Maps ↗

Other Identifiers 1

Medicaid202773909MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company.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

Geoffrey J. Gorse 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 ID6002866803
PECOS Enrollment IDI20050129000022
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 2

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 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.
27 services20 patients
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.
23 services13 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

Other Providers at the Same Location NPPES 20

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

DR. MATTHEW RUSSELL SMEDS MD
Surgery (Vascular Surgery)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4730
MARIANA SAID
Optometrist
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2600
HEATHER ESCHBACH DO
Internal Medicine
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-6100
MCKENZIE ELIZABETH MALONEY MD
Student in an Organized Health Care Education/Training Program
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-3400
LUTHER J WILLMORE MD
Psychiatry & Neurology (Neurology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-6082
ANDRES ALEJANDRO MATA HIDALGO MD
Hospitalist
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2650
EDITH SIGLER
Student in an Organized Health Care Education/Training Program
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2660
DR. GUILLERMO LINARES M.D.
Psychiatry & Neurology (Vascular Neurology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4800

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 Geoffrey Gorse's NPI number?

The NPI number for Geoffrey Gorse is 1285647115. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Geoffrey Gorse located?

Geoffrey Gorse practices at 1225 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 577-8000.

What is Geoffrey Gorse's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Geoffrey Gorse enrolled in Medicare?

Yes. Geoffrey Gorse 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 Geoffrey Gorse accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Geoffrey Gorse 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 Geoffrey Gorse affiliated with any hospitals?

According to CMS data, Geoffrey Gorse is affiliated with Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Geoffrey Gorse was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.