MARK P GORMAN DPT
NPI 1306157490
Physical Therapist in Lexington, MA

Active since June 23, 2010Accepts Medicare Assignment
94.82/100
CMS Quality Rating
57 BEDFORD ST, STE 202, LEXINGTON, MA 02420(781) 541-5111(781) 541-5115 Get Directions Write a Review

NPPES record last updated: April 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark P Gorman Dpt NPPES

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

MARK P GORMAN DPT (NPI 1306157490) is an individual physical therapist in Lexington, Massachusetts, licensed in Massachusetts (19091) and active in the NPI registry since June 2010. He is a graduate of Northeastern Ohio University College Of Medicine (2010).

NPPES Registry Identity

NPI1306157490
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMARK P GORMANCredential: DPT
Location Address57 BEDFORD ST, STE 202Lexington, MA 02420-4500
Mailing Address790 Remington BlvdBolingbrook, IL 60440-4909 · (630) 296-2223
Fax(781) 541-5115
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2010
Enumeration DateJune 23, 2010
Last NPPES UpdateApril 29, 2016
NPI 1306157490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MA · 19091
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
57 BEDFORD ST, Lexington, MA 02420

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

Mark P Gorman Dpt 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 ID2163606419
PECOS Enrollment IDI20110411000437

Areas of Expertise CMS Part B claims 5

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.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,197 services72 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
643 services62 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
418 services52 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
221 services43 patients
Evaluation for physical therapy, typically 45 minutes 97163
An evaluation for physical therapy is a comprehensive assessment of your body's functionality. It typically takes 45 minutes and involves tests to determine your strength, flexibility, balance, and pain levels. This information is crucial to create a personalized therapy plan to improve your mobility and comfort.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02420 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

94.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.91
Improvement Activities40

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.

Physical Therapist
57 BEDFORD ST, SUITE 202
LEXINGTON, MA 02420
Social Worker (Clinical)
57 BEDFORD ST, SUITE 125
LEXINGTON, MA 02420
Internal Medicine
57 BEDFORD ST, STE 130
LEXINGTON, MA 02420
Speech-Language Pathologist
57 BEDFORD ST, SUITE 203
LEXINGTON, MA 02420
Physical Therapist
57 BEDFORD ST, SUITE 202
LEXINGTON, MA 02420
Speech-Language Pathologist
57 BEDFORD ST, SUITE 203
LEXINGTON, MA 02420
Physical Therapist
57 BEDFORD ST, STE 202
LEXINGTON, MA 02420
Internal Medicine
57 BEDFORD ST, STE 130
LEXINGTON, MA 02420

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 Mark Gorman's NPI number?

The NPI number for Mark Gorman is 1306157490. It was assigned to this individual provider in the NPPES registry on June 23, 2010.

Where is Mark Gorman located?

Mark Gorman practices at 57 Bedford St Ste 202, Lexington, MA 02420. The listed phone number is (781) 541-5111.

What is Mark Gorman's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Mark Gorman enrolled in Medicare?

Yes. Mark 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 Mark Gorman accept?

Health plans from Anthem Blue Cross and Blue Shield list Mark 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 Mark Gorman was last updated on April 29, 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.