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DR. GORDIAN NDUBIZU D.O.
NPI 1487016200
Surgery in Hagerstown, MD

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742(301) 790-8380 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2026, Nov 18, 2021, Mar 22, 2016 (3 updates tracked since 2016).

About Dr. Gordian Ndubizu D.o. NPPES

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

DR. GORDIAN NDUBIZU D.O. (NPI 1487016200) is an individual surgery provider in Hagerstown, Maryland, licensed in Maryland (H92614) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487016200
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. GORDIAN NDUBIZUCredential: D.O.
Location Address11116 MEDICAL CAMPUS RDHagerstown, MD 21742-6710
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710
Phone(301) 790-8380
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2016
Enumeration DateMarch 22, 2016
Last NPPES UpdateMay 19, 20263 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1487016200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MD · H92614
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 1027567 (MA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11116 MEDICAL CAMPUS RD, Hagerstown, MD 21742
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Secondary Practice Locations 2

Location 1Geisinger Medical Center 100 North Academy AveDanville, PA 17822-0001 · Phone (570) 271-6211
Location 255 Lake Ave NWorcester, MA 01655-0002 · Phone (774) 475-0831 · Fax (508) 856-4224

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mountain Health CO-OP, Oscar Health, Taro Health.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

Dr. Gordian Ndubizu D.o. 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 ID3476769423
PECOS Enrollment IDI20240206000166, I20260616001494
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

3

Medicare enrollment records show Gordian Ndubizu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atlanticare Physician Group PA
165 mi
Clinic/Center
2500 ENGLISH CREEK AVE STE 602
Egg Harbor Township, NJ 08234
  • Reassigned Medicare billing, New Jersey enrollment
  • 921 clinicians in this Medicare group
NPI 1093829608 (800) 658-1010
Umass Memorial Medical Group, Inc.
351 mi
Urgent Care
78 SUTTON AVE
Oxford, MA 01540
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1982381018 (508) 499-1760
Scl Health Medical Group-Butte LLC
1,790 mi
Rural Health
214 S MAIN ST
Boulder, MT 59632
  • Reassigned Medicare billing, Montana enrollment
  • 278 clinicians in this Medicare group
NPI 1861031122 (406) 225-4201

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services17 patients
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.
19 services11 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Shore Medical Center

Acute Care Hospitals · Somers Point, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310047
Location100 Medical Center WaySomers Point, NJ 08244 · Atlantic County
Emergency services Birthing friendly

Atlanticare Regional Medical Center - City Campus

Acute Care Hospitals · Atlantic City, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310064
Location1925 Pacific AvenueAtlantic City, NJ 08401 · Atlantic County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21742 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

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.

ALLEN L TWIGG LCPC
Counselor (Professional)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 766-7600
HANNAH KAY COLE DNP, FNP-C, CCRN
Nurse Practitioner (Critical Care Medicine)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 790-8000
MS. PATTI KAY COOPER LCSW-C
Social Worker (Clinical)
11116 MEDICAL CAMPUS RD, SUITE 2989
HAGERSTOWN, MD 21742
Washington County (301) 766-7600
TARA BAKER
Nurse Practitioner (Family)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 667-0041
RACHEL ANNE KNICLEY MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 491-2332
ERIKA SPINKS FNP
Nurse Practitioner
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 790-8000
HELMSON B LOUISDOR DO
Student in an Organized Health Care Education/Training Program
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (240) 313-9554
MRS. JUDITH ANNE STAMBAUGH FNP-BC
Nurse Practitioner (Family)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 790-8804

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 Gordian Ndubizu's NPI number?

The NPI number for Gordian Ndubizu is 1487016200. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Gordian Ndubizu located?

Gordian Ndubizu practices at 11116 Medical Campus Rd, Hagerstown, MD 21742. The listed phone number is (301) 790-8380.

What is Gordian Ndubizu's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Gordian Ndubizu enrolled in Medicare?

Yes. Gordian Ndubizu 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 Gordian Ndubizu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gordian Ndubizu reassigns Medicare benefits to 3 organizations: Atlanticare Physician Group PA (Egg Harbor Township, NJ), Umass Memorial Medical Group, Inc. (Oxford, MA) and Scl Health Medical Group-Butte LLC (Boulder, MT). 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 Gordian Ndubizu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gordian Ndubizu accept?

Health plans from Mountain Health CO-OP, Oscar Health and Taro Health list Gordian Ndubizu 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 Gordian Ndubizu affiliated with any hospitals?

According to CMS data, Gordian Ndubizu is affiliated with Umass Memorial Medical Center/University Campus, Shore Medical Center and Atlanticare Regional Medical Center - City Campus.

When was this NPI record last updated?

The NPPES record for Gordian Ndubizu was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.