DR. ANIMESH CHIDANANDRAO GOUR MD
NPI 1477994713
Internal Medicine - Pulmonary Disease in Erie, PA

Active since July 16, 2013PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 2, 2020, Jun 14, 2019, Mar 8, 2019 (3 updates tracked since 2019).

About Dr. Animesh Chidanandrao Gour Md NPPES

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

DR. ANIMESH CHIDANANDRAO GOUR MD (NPI 1477994713) is an individual pulmonary disease provider in Erie, Pennsylvania, licensed in Pennsylvania (MD459404) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1477994713
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ANIMESH CHIDANANDRAO GOURCredential: MD
Location Address204 W 26TH STErie, PA 16508-1806
Mailing Address204 W 26th StErie, PA 16508-1806 · (814) 864-4755 · Fax (814) 864-5430
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 16, 2013
Last NPPES UpdateOctober 2, 20203 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
NPI 1477994713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in PA · MD459404
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

204 W 26TH ST, Erie, PA 16508

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. Animesh Chidanandrao Gour Md 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 ID1153656418
PECOS Enrollment IDI20230330003095
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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
545 services280 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.
369 services207 patients
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
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
63 services34 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
37 services34 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
30 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16508 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$5.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$77.44 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers12 claims2,516 services$0.03 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.

Orthopaedic Surgery
204 W 26TH ST
ERIE, PA 16508
Nurse Practitioner (Acute Care)
204 W 26TH ST
ERIE, PA 16508
Physician Assistant
204 W 26TH ST, ORTHOPEDIC SURGEONS INC.
ERIE, PA 16508
Internal Medicine (Pulmonary Disease)
204 W 26TH ST
ERIE, PA 16508
Physician Assistant
204 W 26TH ST
ERIE, PA 16508
Internal Medicine (Pulmonary Disease)
204 W 26TH ST
ERIE, PA 16508
Internal Medicine (Pulmonary Disease)
204 W 26TH ST
ERIE, PA 16508
Nurse Practitioner
204 W 26TH ST
ERIE, PA 16508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477994713, enumerated as an "individual" on July 16, 2013.

The provider is located at 204 W 26TH ST ERIE, PA 16508 and the phone number is (347) 981-5667.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.

Animesh Gour is affiliated with: METHODIST HOSPITAL and METHODIST HOSPITAL STONE OAK.