DR. MARK GORSCHE M.D.
NPI 1356789390
Orthopaedic Surgery in Waterloo, IA

Active since June 12, 2013PECOS EnrolledAccepts Medicare Assignment
1631 LOGAN AVE, WATERLOO, IA 50703(319) 833-5381 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2022, Dec 16, 2019, Apr 23, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Mark Gorsche M.d. NPPES

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

DR. MARK GORSCHE M.D. (NPI 1356789390) is an individual orthopaedic surgery provider in Waterloo, Iowa, licensed in Iowa (MD-44902) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Allen Hospital, and is a graduate of Creighton University School Of Medicine (2013).

NPPES Registry Identity

NPI1356789390
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MARK GORSCHECredential: M.D.
Location Address1631 LOGAN AVEWaterloo, IA 50703
Mailing AddressPo Box 2758Waterloo, IA 50704-2758 · (319) 235-5390
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2013
Enumeration DateJune 12, 2013
Last NPPES UpdateFebruary 4, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2022
NPI 1356789390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in IA · MD-44902 Licensed in MI · 4301103400
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1631 LOGAN AVE, Waterloo, IA 50703

Accepted 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

Dr. Mark Gorsche 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 ID7214166040
PECOS Enrollment IDI20180515000271
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 17

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.
201 services159 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
154 services109 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.
109 services100 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
51 services38 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
50 services32 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
48 services46 patients

Hospital Affiliations CMS Care Compare 5

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

Allen Hospital

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160110
Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County
Emergency services Birthing friendly

Community Memorial Hospital Medical Center

Critical Access Hospitals · Sumner, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161320
Location909 West First StreetSumner, IA 50674 · Bremer County
Emergency services

Mercy Medical Center-New Hampton

Critical Access Hospitals · New Hampton, IA
OwnershipVoluntary non-profit - Church
CMS Certification Number161331
Location308 North Maple AvenueNew Hampton, IA 50659 · Chickasaw County
Emergency services

Waverly Health Center

Critical Access Hospitals · Waverly, IA
OwnershipGovernment - Local
CMS Certification Number161339
Location312 9th Street SWWaverly, IA 50677 · Bremer County
Emergency services Birthing friendly

Regional Medical Center

Critical Access Hospitals · Manchester, IA
OwnershipGovernment - Local
CMS Certification Number161343
Location709 W Main StreetManchester, IA 52057 · Delaware County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50703 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
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

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers16 claims16 services$63.34 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 8

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

Nurse Practitioner
1631 LOGAN AVE
WATERLOO, IA 50703
Orthopaedic Surgery
1631 LOGAN AVE
WATERLOO, IA 50703
Nurse Practitioner (Family)
1631 LOGAN AVE
WATERLOO, IA 50703
Nurse Practitioner
1631 LOGAN AVE
WATERLOO, IA 50703
Orthopaedic Surgery
1631 LOGAN AVE
WATERLOO, IA 50703
Physical Therapist
1631 LOGAN AVE
WATERLOO, IA 50703
Nurse Practitioner
1631 LOGAN AVE
WATERLOO, IA 50703
Physical Therapist
1631 LOGAN AVE
WATERLOO, IA 50703

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 Mark Gorsche's NPI number?

The NPI number for Mark Gorsche is 1356789390. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Where is Mark Gorsche located?

Mark Gorsche practices at 1631 Logan Ave, Waterloo, IA 50703. The listed phone number is (319) 833-5381.

What is Mark Gorsche's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Mark Gorsche enrolled in Medicare?

Yes. Mark Gorsche 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 Mark Gorsche accept?

Health plans from Medica list Mark Gorsche 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 Mark Gorsche affiliated with any hospitals?

According to CMS data, Mark Gorsche is affiliated with Allen Hospital, Community Memorial Hospital Medical Center, Mercy Medical Center-New Hampton, Waverly Health Center and Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Gorsche was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.