DARREN DOWNING GORE PA
NPI 1346581469
Physician Assistant - Surgical in Houston, TX

Q: What is Darren Gore's NPI number?

The NPI number for Darren Gore is 1346581469. It was assigned to this individual provider in the NPPES registry on March 14, 2013.

Q: What is Darren Gore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Darren Gore was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 14, 2013PECOS EnrolledAccepts Medicare Assignment

7401 S. MAIN, FONDREN ORTHOPEDIC GROUP L.L.P., HOUSTON, TX 77030(713) 799-2300(713) 794-3380 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Darren Downing Gore Pa NPPES

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

DARREN DOWNING GORE PA (NPI 1346581469) is an individual surgical provider in Houston, Texas, licensed in Texas (PA08320) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Texas Orthopedic Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1346581469

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameDARREN DOWNING GORECredential: PA

Location Address7401 S. MAIN, FONDREN ORTHOPEDIC GROUP L.L.P.Houston, TX 77030-4509

Mailing Address7401 S. Main, Fondren Orthopedic Group L.l.p.Houston, TX 77030-4509 · (713) 799-2300 · Fax (713) 794-3380

Phone(713) 799-2300

Fax(713) 794-3380

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 14, 2013

Last NPPES UpdateMay 23, 2023

NPPES CertifiedMay 23, 2023

✔ NPI 1346581469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in TX · PA08320

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA08320 (TX)

7401 S. MAIN, Houston, TX 77030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Darren Downing Gore Pa 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 ID1153561485

PECOS Enrollment IDI20130710000724

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 14

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.

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

65 services35 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.

53 services53 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

49 services25 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

35 services33 patients

X-ray lower and sacral spine, minimum of 6 views 72114

An X-ray of the lower and sacral spine involves capturing images of the bones in your lower back and tailbone area. It helps to identify issues like fractures, infections, or degenerative diseases. A minimum of 6 views ensures a comprehensive examination.

35 services35 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.

33 services32 patients

Fusion of lower spine bone through abdomen with partial removal of disc 22558

This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.

21 services18 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

20 services19 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

18 services12 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

15 services15 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

15 services14 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc 22551

This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.

13 services13 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

12 services12 patients

Removal of growth of lower spine bone outside spine membrane 63267

This procedure involves the surgical removal of an abnormal growth on the lower spine bone. The growth is located outside the protective membrane of the spine. The aim is to alleviate discomfort and prevent potential complications.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Texas Orthopedic Hospital

Acute Care Hospitals · Houston, TX

OwnershipVoluntary non-profit - Other

CMS Certification Number450804

Location7401 South Main StreetHouston, TX 77030 · Harris County

Emergency services

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

86%381 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

2%107 patients1/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

88%237 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

20%223 patients1/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients tobacco: 91% · 34 patients

100%34 patients

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

75%291 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

74%291 patients4/55-star benchmark: 89%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 9% · 107 patients

34%107 patients1/55-star benchmark: 100%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

16%291 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JULIETTE A. ZUMWALT P.A.

Physician Assistant

7401 S. MAIN
HOUSTON, TX 77030

Harris County (713) 799-2300

KAREN ANN GUNTER P.A.

Physician Assistant (Surgical)

7401 S. MAIN
HOUSTON, TX 77030

Harris County (713) 799-2300

BABAK SHERKAT R.N.

Registered Nurse

7401 S. MAIN
HOUSTON, TX 77030

Harris County (713) 799-2300

ALISHA SMITH PTA

Physical Therapist

7401 S. MAIN
HOUSTON, TX 77030

Harris County (713) 799-2300

BRANDON THOMPSON LSA

Specialist/Technologist, Other (Surgical Assistant)

7401 S. MAIN
HOUSTON, TX 77030

Harris County (713) 799-2300

MRS. CHRISTINA KARIAN DONAHUE PA-C

Physician Assistant (Surgical)

7401 S. MAIN, FONDREN ORTHOPEDIC GROUP LLP
HOUSTON, TX 77030

Harris County (281) 799-2300

HUSSEIN A ELKOUSY M.D.

Orthopaedic Surgery (Sports Medicine)

7401 S. MAIN
HOUSTON, TX 77030

Harris County (713) 799-2300

YOMNA T MONLA M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

7401 S. MAIN
HOUSTON, TX 77030

Harris County (713) 799-2300

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 Darren Gore's NPI number?

The NPI number for Darren Gore is 1346581469. It was assigned to this individual provider in the NPPES registry on March 14, 2013.

Where is Darren Gore located?

Darren Gore practices at 7401 S. Main Fondren Orthopedic Group L.L.P., Houston, TX 77030. The listed phone number is (713) 799-2300.

What is Darren Gore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Darren Gore enrolled in Medicare?

Yes. Darren 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 Darren Gore accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Darren 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 Darren Gore affiliated with any hospitals?

According to CMS data, Darren Gore is affiliated with Texas Orthopedic Hospital.

When was this NPI record last updated?

The NPPES record for Darren Gore was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.