RACHEL GORMLEY MD
NPI 1316267990
Dermatology - Dermatopathology in Portland, ME

Active since June 07, 2010PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
50 SEWALL ST, PORTLAND, ME 04102(207) 775-3526(207) 775-5658 Get Directions Write a Review

NPPES record last updated: January 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rachel Gormley Md NPPES

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

RACHEL GORMLEY MD (NPI 1316267990) is an individual dermatopathology provider in Portland, Maine, licensed in Maine (MD20662) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2010).

NPPES Registry Identity

NPI1316267990
Entity TypeIndividualFemale
Primary Taxonomy207ND0900X
Provider Legal NameRACHEL GORMLEYCredential: MD
Location Address50 SEWALL STPortland, ME 04102-2645
Mailing Address50 Sewall StPortland, ME 04102-2645 · (207) 775-3526 · Fax (207) 775-5658
Fax(207) 775-5658
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2010
Enumeration DateJune 7, 2010
Last NPPES UpdateJanuary 25, 2016
NPI 1316267990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License Licensed in ME · MD20662
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
50 SEWALL ST, Portland, ME 04102

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

Rachel Gormley Md 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 ID3971811886
PECOS Enrollment IDI20150925001881
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 19

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,455 services817 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
907 services164 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
555 services459 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
298 services232 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
245 services206 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
189 services161 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
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.

Dermatology (MOHS-Micrographic Surgery)
50 SEWALL ST
PORTLAND, ME 04102
Dermatology
50 SEWALL ST
PORTLAND, ME 04102
Physician Assistant (Medical)
50 SEWALL ST, SUITE 301
PORTLAND, ME 04102
Physician Assistant
50 SEWALL ST
PORTLAND, ME 04102
Dermatology
50 SEWALL ST
PORTLAND, ME 04102
Nurse Practitioner (Adult Health)
50 SEWALL ST
PORTLAND, ME 04102
Dermatology
50 SEWALL ST
PORTLAND, ME 04102
Nurse Practitioner (Family)
50 SEWALL ST
PORTLAND, ME 04102

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 Rachel Gormley's NPI number?

The NPI number for Rachel Gormley is 1316267990. It was assigned to this individual provider in the NPPES registry on June 7, 2010.

Where is Rachel Gormley located?

Rachel Gormley practices at 50 Sewall St, Portland, ME 04102. The listed phone number is (207) 775-3526.

What is Rachel Gormley's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Rachel Gormley enrolled in Medicare?

Yes. Rachel Gormley 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.

When was this NPI record last updated?

The NPPES record for Rachel Gormley was last updated on January 25, 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.