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MARGARET GORE M.D.
NPI 1477551380
Internal Medicine - Hematology & Oncology in Union City, TN

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
67.27/100
CMS Quality Rating
1109 E REELFOOT AVE STE F, UNION CITY, TN 38261(731) 884-1412(731) 884-1720 Get Directions Write a Review

NPPES record last updated: October 21, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Margaret Gore M.d. NPPES

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

MARGARET GORE M.D. (NPI 1477551380) is an individual hematology & oncology provider in Union City, Tennessee, licensed in Tennessee (MD023524) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Duke University School Of Medicine (1986).

NPPES Registry Identity

NPI1477551380
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameMARGARET GORECredential: M.D.
Location Address1109 E REELFOOT AVE STE FUnion City, TN 38261-5867
Mailing AddressPo Box 405827Atlanta, GA 30384-5800
Phone(731) 884-1412
Fax(731) 884-1720
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1986
Enumeration DateJuly 13, 2005
Last NPPES UpdateOctober 21, 2016
✔ NPI 1477551380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in TN · MD023524
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1109 E REELFOOT AVE STE F, Union City, TN 38261
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Other Identifiers 3

OtherP0018760Medicare Railroad
Other103G702703TN · Ptan
Medicaid3067992TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Health Advantage, Molina Healthcare and more.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

Margaret Gore 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 ID8527955251
PECOS Enrollment IDI20050118000226, I20050323000844
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

2

Medicare enrollment records show Margaret Gore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Memorial Hospital-Tipton
70 mi
General Acute Care Hospital
1995 HIGHWAY 51 S
Covington, TN 38019
  • Reassigned Medicare billing, Tennessee enrollment
  • 56 clinicians in this Medicare group
NPI 1316901937 (901) 476-2621
Baptist Memorial Medical Group Inc
102 mi
Internal Medicine
8970 WINCHESTER RD
Memphis, TN 38125
  • Reassigned Medicare billing, Mississippi and Tennessee enrollments
  • 494 clinicians in this Medicare group
NPI 1306089206 (901) 227-4068

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 11

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.
525 services364 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.
300 services193 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.
279 services119 patients
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.
187 services158 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.
122 services122 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.
85 services43 patients

Hospital Affiliations CMS Care Compare 5

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Baptist Memorial Hospital - Carroll County

Acute Care Hospitals · Huntingdon, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440016
Location631 Rb Wilson DrHuntingdon, TN 38344 · Carroll County
Emergency services

Volunteer Community Hospital

Acute Care Hospitals · Martin, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440061
Location161 Mount Pelia RdMartin, TN 38237 · Weakley County
Emergency services Birthing friendly

Baptist Memorial Hospital Union City

Acute Care Hospitals · Union City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440130
Location1201 Bishop St, PO Box 310Union City, TN 38261 · Obion County
Emergency services Birthing friendly

Baptist Memorial Hospital Tipton

Acute Care Hospitals · Covington, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440131
Location1995 Highway 51 SCovington, TN 38019 · Tipton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38261 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
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.

67.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.79
Improvement Activities40
Cost26.61

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.

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
3 suppliers15 claims54 services$35.79 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 2

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

AMY K HARRIS N.P
Nurse Practitioner
1109 E REELFOOT AVE STE F
UNION CITY, TN 38261
Obion County (731) 884-1412
KEVIN B COLLINS MD
Radiology (Radiation Oncology)
1109 E REELFOOT AVE STE F
UNION CITY, TN 38261
Obion County (731) 884-1412

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 Margaret Gore's NPI number?

The NPI number for Margaret Gore is 1477551380. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Margaret Gore located?

Margaret Gore practices at 1109 E Reelfoot Ave Ste F, Union City, TN 38261. The listed phone number is (731) 884-1412.

What is Margaret Gore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Margaret Gore enrolled in Medicare?

Yes. Margaret 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.

Which organizations bill Medicare for Margaret Gore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Margaret Gore reassigns Medicare benefits to 2 organizations: Baptist Memorial Hospital-Tipton (Covington, TN) and Baptist Memorial Medical Group Inc (Memphis, TN). 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 Margaret Gore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Margaret Gore accept?

Health plans from BlueCross BlueShield of Tennessee, Health Advantage, Molina Healthcare, Octave and Oscar Health Plan, Inc. and 1 other insurer list Margaret 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 Margaret Gore affiliated with any hospitals?

According to CMS data, Margaret Gore is affiliated with Jackson-Madison County General Hospital, Baptist Memorial Hospital - Carroll County, Volunteer Community Hospital, Baptist Memorial Hospital Union City and Baptist Memorial Hospital Tipton.

When was this NPI record last updated?

The NPPES record for Margaret Gore was last updated on October 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.