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DOUGLAS ALLAN GORNEY ARNP
NPI 1427544162
Nurse Practitioner - Family in West Des Moines, IA

Active since July 05, 2018PECOS EnrolledAccepts Medicare Assignment
5950 UNIVERSITY AVE STE 231, WEST DES MOINES, IA 50266(515) 875-9090(515) 875-9312 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 9, 2023, Dec 10, 2018, Jul 5, 2018 (3 updates tracked since 2018).

About Douglas Allan Gorney Arnp NPPES

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

DOUGLAS ALLAN GORNEY ARNP (NPI 1427544162) is an individual family provider in West Des Moines, Iowa, licensed in Iowa (A090530) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1427544162
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDOUGLAS ALLAN GORNEYCredential: ARNP
Location Address5950 UNIVERSITY AVE STE 231West Des Moines, IA 50266-8233
Mailing AddressPo Box 424Des Moines, IA 50302-0424 · (515) 875-9925 · Fax (515) 875-9923
Phone(515) 875-9090
Fax(515) 875-9312
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 5, 2018
Last NPPES UpdateDecember 20, 20233 updates tracked since enumeration
NPPES CertifiedDecember 20, 2023
✔ NPI 1427544162 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 IA · A090530
5950 UNIVERSITY AVE STE 231, West Des Moines, IA 50266
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Douglas Allan Gorney Arnp 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 ID6305199399
PECOS Enrollment IDI20181020000748
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Douglas Gorney reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Iowa Clinic PC
Same address
Family Medicine
5950 UNIVERSITY AVE, STE 151
West Des Moines, IA 50266
  • Reassigned Medicare billing, Iowa enrollment
  • 318 clinicians in this Medicare group
NPI 1346233178 (515) 875-9100
Central Iowa Hospital Corporation
0.2 mi
Mental Health
6000 UNIVERSITY AVE STE 200
West Des Moines, IA 50266
  • Reassigned Medicare billing, Iowa enrollment
  • 545 clinicians in this Medicare group
NPI 1114969086 (515) 241-2300
Iowa Physicians Clinic Medical Foundation
0.3 mi
General Practice
1776 W LAKES PKWY STE 400
West Des Moines, IA 50266
  • Reassigned Medicare billing, Iowa enrollment
  • 1,506 clinicians in this Medicare group
NPI 1366425274 (515) 471-9300
Unitypoint Health - Marshalltown
51 mi
Emergency Medicine
55 UNITYPOINT WAY
Marshalltown, IA 50158
  • Reassigned Medicare billing, Iowa enrollment
  • 214 clinicians in this Medicare group
NPI 1164957593 (641) 754-5145

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

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.
64 services63 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Unitypoint Health - Des Moines Iowa Methodist Medi

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160082
Location1200 Pleasant StreetDes Moines, IA 50309 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50266 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
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Other Providers at the Same Location NPPES 18

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

MRS. KELSEY CHRISTENSEN DNP, ARNP
Nurse Practitioner
5950 UNIVERSITY AVE STE 231
WEST DES MOINES, IA 50266
Dallas County (515) 875-9090
SHELBY MORGAN
Nurse Practitioner
5950 UNIVERSITY AVE STE 231
WEST DES MOINES, IA 50266
Dallas County (515) 875-9090
DR. RORI MANKINS M.D.
Surgery (Vascular Surgery)
5950 UNIVERSITY AVE STE 231
WEST DES MOINES, IA 50266
Dallas County (515) 875-9090
KELLI LARSON APRN
Nurse Practitioner
5950 UNIVERSITY AVE STE 231
WEST DES MOINES, IA 50266
Dallas County (515) 875-9090
MS. CASEY A FITZ ARNP
Nurse Practitioner
5950 UNIVERSITY AVE STE 231
WEST DES MOINES, IA 50266
Dallas County (515) 875-9090
KYLEA RYTHER
Nurse Practitioner
5950 UNIVERSITY AVE STE 231, SUITE 321
WEST DES MOINES, IA 50266
Dallas County (515) 875-9090
SARAH A HAYDEN
Nurse Practitioner
5950 UNIVERSITY AVE STE 231
WEST DES MOINES, IA 50266
Dallas County (515) 875-9090
ALYSSA WADDELL ARNP
Nurse Practitioner
5950 UNIVERSITY AVE STE 231
WEST DES MOINES, IA 50266
Dallas County (515) 875-9090

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 Douglas Gorney's NPI number?

The NPI number for Douglas Gorney is 1427544162. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Where is Douglas Gorney located?

Douglas Gorney practices at 5950 University Ave Ste 231, West Des Moines, IA 50266. The listed phone number is (515) 875-9090.

What is Douglas Gorney's specialty?

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

Is Douglas Gorney enrolled in Medicare?

Yes. Douglas Gorney 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.

Which organizations bill Medicare for Douglas Gorney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Gorney reassigns Medicare benefits to 4 organizations: The Iowa Clinic PC (West Des Moines, IA), Central Iowa Hospital Corporation (West Des Moines, IA), Iowa Physicians Clinic Medical Foundation (West Des Moines, IA) and Unitypoint Health - Marshalltown (Marshalltown, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Gorney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Gorney accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Douglas Gorney 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 Douglas Gorney affiliated with any hospitals?

According to CMS data, Douglas Gorney is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi.

When was this NPI record last updated?

The NPPES record for Douglas Gorney was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.