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JUSTIN D GORSLINE NP
NPI 1336778406
Nurse Practitioner - Family in Hixson, TN

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
94.7/100
CMS Quality Rating
2051 HAMILL RD, HIXSON, TN 37343(423) 775-1121(423) 495-2625 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2020, Apr 2, 2020 (2 updates tracked since 2020).

About Justin D Gorsline Np NPPES

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

JUSTIN D GORSLINE NP (NPI 1336778406) is an individual family provider in Hixson, Tennessee, licensed in Tennessee (27367) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1336778406
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJUSTIN D GORSLINECredential: NP
Location Address2051 HAMILL RDHixson, TN 37343-6614
Mailing Address2525 Desales AveChattanooga, TN 37404-1161 · (423) 495-2525 · Fax (423) 495-2625
Phone(423) 775-1121
Fax(423) 495-2625
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 2, 2020
Last NPPES UpdateApril 1, 20222 updates tracked since enumeration
NPPES CertifiedApril 1, 2022
✔ NPI 1336778406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 27367
2051 HAMILL RD, Hixson, TN 37343
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Justin D Gorsline Np 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 ID4789005695
PECOS Enrollment IDI20260416001450
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
164 services78 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.
109 services97 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
85 services83 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
22 services14 patients

Hospital Affiliations CMS Care Compare

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

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37343 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
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.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.41
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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.45 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$2.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers31 claims31 services$66.80 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.

SARAH GILLIAM
Pharmacist
2051 HAMILL RD
HIXSON, TN 37343
Hamilton County (423) 495-7137
DR. JAMES J O'CONNELL MD
Family Medicine
2051 HAMILL RD, SUITE 301
HIXSON, TN 37343
Hamilton County (423) 877-1249
C RODNEY SUSONG MD PC
Dermatology
2051 HAMILL RD, STE 301A
HIXSON, TN 37343
Hamilton County (423) 870-3376
MEMORIAL HEALTH CARE SYSTEM INC.
General Acute Care Hospital
2051 HAMILL RD
HIXSON, TN 37343
Hamilton County (423) 495-7100
MEMORIAL HEALTH CARE SYSTEM
General Acute Care Hospital
2051 HAMILL RD, SUITE 301E
HIXSON, TN 37343
Hamilton County (423) 495-8774
ANDREW R. JONES MD
Obstetrics & Gynecology
2051 HAMILL RD, SUITE 400
HIXSON, TN 37343
Hamilton County (423) 877-4549
ROSS A COHN M.D.
Urology
2051 HAMILL RD, SUITE 201
HIXSON, TN 37343
Hamilton County (423) 877-2844
LARRY GIBSON MD
Psychiatry & Neurology (Neurology)
2051 HAMILL RD, STE 301 B
HIXSON, TN 37343
Hamilton County (423) 877-1212

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 Justin Gorsline's NPI number?

The NPI number for Justin Gorsline is 1336778406. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Justin Gorsline located?

Justin Gorsline practices at 2051 Hamill Rd, Hixson, TN 37343. The listed phone number is (423) 775-1121.

What is Justin Gorsline's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Justin Gorsline enrolled in Medicare?

Yes. Justin Gorsline 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 Justin Gorsline accept?

Health plans from Alliant Health Plans, Inc. list Justin Gorsline 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 Justin Gorsline affiliated with any hospitals?

According to CMS data, Justin Gorsline is affiliated with Memorial Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Justin Gorsline was last updated on April 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.