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

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: August 16, 2026.

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

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 Highland 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
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

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

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.

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 2

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

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
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Hospitalist
STRONG MEMORIAL HOSPITAL 601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Physical Therapist
STRONG MEMORIAL HOSPITAL 601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
STRONG MEMORIAL HOSPITAL 601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Nurse Practitioner (Acute Care)
STRONG MEMORIAL HOSPITAL 601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Physical Therapist
STRONG MEMORIAL HOSPITAL 601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Registered Nurse (Emergency)
STRONG MEMORIAL HOSPITAL 601 ELMWOOD AVENUE
ROCHESTER, NY 14642

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 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.

Where is Matthew Gorgone located?

Matthew Gorgone practices at Strong Memorial Hospital 601 Elmwood Avenue, Rochester, NY 14642. The listed phone number is (585) 275-2100.

What is Matthew Gorgone's specialty?

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

Is Matthew Gorgone enrolled in Medicare?

Yes. Matthew Gorgone 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 Matthew Gorgone affiliated with any hospitals?

According to CMS data, Matthew Gorgone is affiliated with Highland Hospital and Strong Memorial Hospital.

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 23 months 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.