MATTHEW GORGONE
NPI 1326368606
Internal Medicine - Pulmonary Disease in Rochester, NY

Q: What is Matthew Gorgone's NPI number?

The NPI number for Matthew Gorgone is 1326368606. It was assigned to this individual provider in the NPPES registry on June 9, 2010.

Q: What is Matthew Gorgone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Gorgone was last updated on September 6, 2024. 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.

Active since June 09, 2010PECOS EnrolledAccepts Medicare Assignment

77.5/100

CMS Quality Rating

STRONG MEMORIAL HOSPITAL 601 ELMWOOD AVENUE, ROCHESTER, NY 14642(585) 275-2100 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2024, Dec 6, 2023, Jul 7, 2022 and 4 more (7 updates tracked since 2017).

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About Matthew Gorgone NPPES

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

MATTHEW GORGONE (NPI 1326368606) is an individual pulmonary disease provider in Rochester, New York, licensed in Pennsylvania (OS020082) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with St James Mercy Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1326368606

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameMATTHEW GORGONE

Location AddressSTRONG MEMORIAL HOSPITAL 601 ELMWOOD AVENUERochester, NY 14642-1326

Mailing Address601 Elmwood Avenue Box 692Rochester, NY 14642-8692

Phone(585) 275-2100

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 9, 2010

Last NPPES UpdateSeptember 6, 20247 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2024

✔ NPI 1326368606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in PA · OS020082✔ Licensed in NY · 281056

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License OS020082 (PA), 281056 (NY)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License OS020082 (PA)

STRONG MEMORIAL HOSPITAL 601 ELMWOOD AVENUE, Rochester, NY 14642

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Gorgone 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 ID9739372657

PECOS Enrollment IDI20241003000044

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.

Medicare Billing Reassignments

Medicare enrollment records show Matthew Gorgone reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine Group

Same address

Internal Medicine

601 ELMWOOD AVE
Rochester, NY 14642

Reassigned Medicare billing, New York enrollment
302 clinicians in this Medicare group

NPI 1649220393 (585) 275-4912

Pulmonary Disease Clinical Group

Same address

Pulmonary Disease

601 ELMWOOD AVE, BOX 692
Rochester, NY 14642

Reassigned Medicare billing, New York enrollment
72 clinicians in this Medicare group

NPI 1881641652 (585) 273-1123

University Of Rochester

Same address

General Acute Care Hospital

601 ELMWOOD AVE, BOX 684
Rochester, NY 14642

Reassigned Medicare billing, New York enrollment
1,624 clinicians in this Medicare group

NPI 1346285657 (585) 275-2100

Mary M Parkes Asthma & Pulmonary

4.0 mi

Pulmonary Disease

400 RED CREEK DR, SUITE 110
Rochester, NY 14623

Reassigned Medicare billing, New York enrollment
45 clinicians in this Medicare group

NPI 1588610760 (585) 486-0147

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

172 services80 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.

85 services59 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.

34 services34 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

27 services24 patients

Ultrasound scan of chest 76604

An ultrasound scan of the chest is a non-invasive imaging procedure that uses sound waves to create pictures of the structures within your chest, such as your heart and lungs. It's a safe, painless method that helps doctors diagnose and monitor various conditions.

17 services15 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330151

Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County

Emergency services

Highland Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330164

Location1000 South AvenueRochester, NY 14617 · Monroe County

Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330285

Location601 Elmwood AveRochester, NY 14642 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

77.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.61

Promoting Interoperability

100

Improvement Activities

Cost

56.4

Other Providers at the Same Location NPPES 6

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

DR. JOSHUA BOTKIN DO

Hospitalist