DR. JAMES E GORE MD
NPI 1316975485
Internal Medicine - Rheumatology in Nashville, TN

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James E Gore Md NPPES

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

DR. JAMES E GORE MD (NPI 1316975485) is an individual rheumatology provider in Nashville, Tennessee, licensed in Tennessee (39298) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with T J Samson Community Hospital, and is a graduate of University Of Kentucky College Of Medicine (1999).

NPPES Registry Identity

NPI1316975485
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. JAMES E GORECredential: MD
Location Address3601 TVCNashville, TN 37232-0001
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 936-2000
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1999
Enumeration DateJune 29, 2006
Last NPPES UpdateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
NPI 1316975485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in TN · 39298
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
3601 TVC, Nashville, TN 37232

Other Identifiers 3

Other7020652Aetna
Medicaid3380475TN
Other4106199Bcbs

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

Dr. James E Gore 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 ID7517914427
PECOS Enrollment IDI20050404000255
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 4

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.

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.
598 services404 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.
483 services380 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients

Hospital Affiliations CMS Care Compare 4

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

T J Samson Community Hospital

Acute Care Hospitals · Glasgow, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180017
Location1301 North Race StreetGlasgow, KY 42141 · Barren County
Emergency services Birthing friendly

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440059
Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County
Emergency services Birthing friendly

Vanderbilt Tullahoma-Harton Hospital

Acute Care Hospitals · Tullahoma, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440144
Location1801 N Jackson St Box 460Tullahoma, TN 37388 · Coffee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$68.39 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers14 claims1,590 services$0.01 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers11 claims20 services$12.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics
3601 TVC
NASHVILLE, TN 37232
Psychiatry & Neurology (Neurology)
3601 TVC
NASHVILLE, TN 37232
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3601 TVC
NASHVILLE, TN 37232
Pediatrics (Pediatric Nephrology)
3601 TVC
NASHVILLE, TN 37232
Internal Medicine (Infectious Disease)
3601 TVC
NASHVILLE, TN 37232
Physical Medicine & Rehabilitation
3601 TVC
NASHVILLE, TN 37232
Surgery
3601 TVC
NASHVILLE, TN 37232
Anesthesiology
3601 TVC
NASHVILLE, TN 37232

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 James Gore's NPI number?

The NPI number for James Gore is 1316975485. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is James Gore located?

James Gore practices at 3601 Tvc, Nashville, TN 37232. The listed phone number is (615) 322-3000.

What is James Gore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is James Gore enrolled in Medicare?

Yes. James 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.

What insurance does James Gore accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and Oscar Insurance Company list James Gore 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 James Gore affiliated with any hospitals?

According to CMS data, James Gore is affiliated with T J Samson Community Hospital, Vanderbilt University Medical Center, Cookeville Regional Medical Center and Vanderbilt Tullahoma-Harton Hospital.

When was this NPI record last updated?

The NPPES record for James Gore was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.