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SUBBARAO GORTI M.D.
NPI 1356399075
Family Medicine in Bensalem, PA

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
3300 TILLMAN DR, BENSALEM, PA 19020(215) 914-4444(215) 245-2073 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2021, Jul 7, 2021, Apr 25, 2019 (3 updates tracked since 2019).

About Subbarao Gorti M.d. NPPES

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

SUBBARAO GORTI M.D. (NPI 1356399075) is an individual family medicine provider in Bensalem, Pennsylvania, licensed in Pennsylvania (MD048575L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Holy Redeemer Hospital And Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1356399075
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSUBBARAO GORTICredential: M.D.
Location Address3300 TILLMAN DRBensalem, PA 19020-2071
Mailing Address1648 Huntingdon Pike, Medical Staff Office 1st FlrMeadowbrook, PA 19046-8001 · (215) 938-3450 · Fax (215) 938-3829
Phone(215) 914-4444
Fax(215) 245-2073
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMay 5, 2006
Last NPPES UpdateJuly 21, 20213 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
✔ NPI 1356399075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD048575L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3300 TILLMAN DR, Bensalem, PA 19020
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Other Identifiers 14

Medicaid0013058950006PA
Other1024550PA · United Healthcare
Other8696PA · Clear Care
Other01305895-02PA · Americhoice
Other810159612PA · Phcs
Medicaid0013058920001PA
Other0279193000PA · Ibc,keystone
Other080105711PA · Railroad Medicare
Other186650PA · Highmark Blue Shield
OtherPA0049853PA · Tricare
Medicaid0013058950002PA
Other1022053PA · Keystone Mercy
Other118031PA · Aetna
Other3832822PA · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Subbarao Gorti M.d. 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 ID8527253376
PECOS Enrollment IDI20101108000051
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 7

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 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.
96 services69 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
93 services93 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
65 services53 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.
48 services47 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Holy Redeemer Hospital And Medical Center

Acute Care Hospitals · Meadowbrook, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number390097
Location1648 Huntingdon PikeMeadowbrook, PA 19046 · Montgomery County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19020 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers31 claims62 services$5.38 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers30 claims30 services$0.96 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$198.85 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.

DR. STACY L KRISHER MD
Surgery (Surgical Oncology)
3300 TILLMAN DR, SUITE #100
BENSALEM, PA 19020
Bucks County (215) 633-3456
WILLIAM L SCARLETT D.O.
Plastic Surgery
3300 TILLMAN DR, SUITE 201
BENSALEM, PA 19020
Bucks County (215) 447-8054
MRS. MONICA RYAN CRNP
Nurse Practitioner (Family)
3300 TILLMAN DR
BENSALEM, PA 19020
Bucks County (215) 244-7400
PROFILE SHOP, INC.
Durable Medical Equipment & Medical Supplies
3300 TILLMAN DR, SUITE 105
BENSALEM, PA 19020
Bucks County (215) 633-3461
HR PHYSICIAN SERVICES
Family Medicine
3300 TILLMAN DR
BENSALEM, PA 19020
Bucks County (215) 914-4444
MRS. MARILYN DENISE MALINOWSKI MSN, CRNP, CRNFA
Nurse Practitioner (Adult Health)
3300 TILLMAN DR
BENSALEM, PA 19020
Bucks County (215) 244-7803
DR. STEVEN MARC BACK M.D.
Anesthesiology
3300 TILLMAN DR
BENSALEM, PA 19020
Bucks County (215) 244-7400
KRISTEN NICOLE CALLAGHAN DPT
Physical Therapist
3300 TILLMAN DR, 2ND FLOOR
BENSALEM, PA 19020
Bucks County (215) 642-6900

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 Subbarao Gorti's NPI number?

The NPI number for Subbarao Gorti is 1356399075. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Subbarao Gorti located?

Subbarao Gorti practices at 3300 Tillman Dr, Bensalem, PA 19020. The listed phone number is (215) 914-4444.

What is Subbarao Gorti's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Subbarao Gorti enrolled in Medicare?

Yes. Subbarao Gorti 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 Subbarao Gorti accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Subbarao Gorti 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 Subbarao Gorti affiliated with any hospitals?

According to CMS data, Subbarao Gorti is affiliated with Holy Redeemer Hospital And Medical Center and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Subbarao Gorti was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.