MR. GAVIN BLAIR GORE
NPI 1316189608
Radiology - Diagnostic Radiology in Leesburg, VA

Active since April 01, 2009PECOS EnrolledAccepts Medicare Assignment
76.06/100
CMS Quality Rating
19500 SANDRIDGE WAY, SUITE 420, LEESBURG, VA 20176(571) 375-8601(571) 223-6773 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 29, 2022, Sep 26, 2022 (2 updates tracked since 2022).

About Mr. Gavin Blair Gore NPPES

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

MR. GAVIN BLAIR GORE (NPI 1316189608) is an individual diagnostic radiology provider in Leesburg, Virginia, licensed in Virginia (0101258174) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Lewisgale Medical Center, and maintains a secondary practice location in Winston-salem.

NPPES Registry Identity

NPI1316189608
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMR. GAVIN BLAIR GORE
Location Address19500 SANDRIDGE WAY, SUITE 420Leesburg, VA 20176-3467
Mailing Address224-d Cornwall Street, Nw, Suite 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (703) 443-8643
Fax(571) 223-6773
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 1, 2009
Last NPPES UpdateNovember 29, 20222 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
NPI 1316189608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in VA · 0101258174 Licensed in NC · 2013-02510
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

19500 SANDRIDGE WAY, SUITE 420, Leesburg, VA 20176

Secondary Practice Location 1

Location 11 Medical Center BoulevardWinston-Salem, NC 27103-2705 · Phone (336) 716-6388

Other Identifiers 1

Medicaid1316189608VA

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

Mr. Gavin Blair Gore 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 ID7911210596
PECOS Enrollment IDI20150727000381, I20170615000158
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 60

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.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
8,470 services50 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
533 services483 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
242 services230 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
190 services180 patients
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries A9552
Fluorodeoxyglucose F-18 FDG is a radioactive drug used in PET scans. It helps doctors see how your tissues and organs are functioning. The drug is given in a specific dose, up to 45 millicuries, depending on your body size and the type of scan.
179 services168 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
168 services168 patients

Hospital Affiliations CMS Care Compare 5

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

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

Lewisgale Hospital Montgomery

Acute Care Hospitals · Blacksburg, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490110
Location3700 South Main StreetBlacksburg, VA 24060 · Montgomery County
Emergency services Birthing friendly

Lewisgale Hospital Pulaski

Acute Care Hospitals · Pulaski, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490116
Location2400 Lee HighwayPulaski, VA 24301 · Pulaski County
Emergency services

Stonesprings Hospital Center

Acute Care Hospitals · Dulles, VA
OwnershipProprietary
CMS Certification Number490145
Location24440 Stone Springs BoulevardDulles, VA 20166 · Loudoun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

76.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.41
Improvement Activities40
Cost59.79

Reported Quality Measures

Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%54 patients
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.

Other Providers at the Same Location NPPES 14

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

Radiology (Diagnostic Radiology)
19500 SANDRIDGE WAY, SUITE 420
LEESBURG, VA 20176
Radiology (Diagnostic Radiology)
19500 SANDRIDGE WAY, SUITE 420
LEESBURG, VA 20176
Radiology (Diagnostic Radiology)
19500 SANDRIDGE WAY, SUITE 420
LEESBURG, VA 20176
Radiology (Diagnostic Neuroimaging)
19500 SANDRIDGE WAY, SUITE 420
LEESBURG, VA 20176
Radiology (Diagnostic Radiology)
19500 SANDRIDGE WAY, SUITE 420
LEESBURG, VA 20176
Radiology (Diagnostic Radiology)
19500 SANDRIDGE WAY, SUITE 420
LEESBURG, VA 20176
Physician Assistant
19500 SANDRIDGE WAY, SUITE 420
LEESBURG, VA 20176
Radiology (Vascular & Interventional Radiology)
19500 SANDRIDGE WAY, SUITE 420
LEESBURG, VA 20176

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 Gavin Gore's NPI number?

The NPI number for Gavin Gore is 1316189608. It was assigned to this individual provider in the NPPES registry on April 1, 2009.

Where is Gavin Gore located?

Gavin Gore practices at 19500 Sandridge Way, Suite 420, Leesburg, VA 20176. The listed phone number is (571) 375-8601.

What is Gavin Gore's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Gavin Gore enrolled in Medicare?

Yes. Gavin Gore 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.

Is Gavin Gore affiliated with any hospitals?

According to CMS data, Gavin Gore is affiliated with Lewisgale Medical Center, Reston Hospital Center, Lewisgale Hospital Montgomery, Lewisgale Hospital Pulaski and Stonesprings Hospital Center.

When was this NPI record last updated?

The NPPES record for Gavin Gore was last updated on November 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.