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JOSHUA GORNEY
NPI 1306465794
Hospitalist in Appleton, WI

Active since April 15, 2020PECOS EnrolledAccepts Medicare Assignment
97.47/100
CMS Quality Rating
1818 N MEADE ST, APPLETON, WI 54911(920) 454-5767(920) 735-7618 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joshua Gorney NPPES

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

JOSHUA GORNEY (NPI 1306465794) is an individual hospitalist provider in Appleton, Wisconsin, licensed in Wisconsin (82509) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306465794
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJOSHUA GORNEY
Location Address1818 N MEADE STAppleton, WI 54911-3454
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900 · Fax (920) 830-5910
Phone(920) 454-5767
Fax(920) 735-7618
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 15, 2020
Last NPPES UpdateSeptember 15, 2023
NPPES CertifiedSeptember 15, 2023
✔ NPI 1306465794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 82509
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1818 N MEADE ST, Appleton, WI 54911
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1130 2nd StNeenah, WI 54956-2883 · Phone (920) 454-5767 · Fax (920) 735-7618
Location 21405 Mill StNew London, WI 54961-2155 · Phone (920) 454-5767 · Fax (920) 735-7618

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Joshua Gorney 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 ID143646992
PECOS Enrollment IDI20230929001402
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 6

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 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.
251 services113 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
82 services79 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
64 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients
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.
22 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520107
Location2300 Western AveManitowoc, WI 54221 · Manitowoc County
Emergency services

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Thedacare Medical Center-Waupaca

Critical Access Hospitals · Waupaca, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521334
Location800 Riverside DriveWaupaca, WI 54981 · Waupaca County
Emergency services Birthing friendly

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521346
Location100 County Rd BShawano, WI 54166 · Shawano County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

97.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality96.25
Promoting Interoperability90.63
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.

MRS. THERESA ANN HAGMAN PTA
Physical Therapy Assistant
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101
HANNA ROSE SIPPEL PA
Physician Assistant
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101
ANN M HEFTER AGACNP-BC, MSN, BSN
Nurse Practitioner
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-8900
DESSIA J LAXTON APNP
Nurse Practitioner
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-8900
MISS AMBER LYNN NEVALA CST
Specialist/Technologist, Other (Surgical Assistant)
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (906) 280-5495
DAVID MICHAEL DENELL MPT LAT/C
Physical Therapist
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101
PHILIP ANTHONY VOGT MD
Surgery
1818 N MEADE ST, STE 240- WEST
APPLETON, WI 54911
Outagamie County (920) 731-8289
SYED TAIMUR ALI M.D.
Hospitalist
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101

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 Joshua Gorney's NPI number?

The NPI number for Joshua Gorney is 1306465794. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Joshua Gorney located?

Joshua Gorney practices at 1818 N Meade St, Appleton, WI 54911. The listed phone number is (920) 454-5767.

What is Joshua Gorney's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Joshua Gorney enrolled in Medicare?

Yes. Joshua Gorney 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 Joshua Gorney accept?

Health plans from CareSource (Common Ground Healthcare) list Joshua Gorney 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 Joshua Gorney affiliated with any hospitals?

According to CMS data, Joshua Gorney is affiliated with Thedacare Regional Med Ctr - Neenah, Holy Family Memorial, Thedacare Regional Medical Center - Appleton Inc, Thedacare Medical Center-Waupaca and Thedacare Medical Center - Shawano.

When was this NPI record last updated?

The NPPES record for Joshua Gorney was last updated on September 15, 2023. 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.