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DR. JOHN J GORMAN M.D.
NPI 1487646923
Internal Medicine in Traverse City, MI

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment
3643 W FRONT ST, SUITE C, TRAVERSE CITY, MI 49684(231) 935-0614(231) 935-0832 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John J Gorman M.d. NPPES

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

DR. JOHN J GORMAN M.D. (NPI 1487646923) is an individual internal medicine provider in Traverse City, Michigan, licensed in Michigan (4304077817) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of Michigan State University College Of Human Medicine (2001).

NPPES Registry Identity

NPI1487646923
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN J GORMANCredential: M.D.
Location Address3643 W FRONT ST, SUITE CTraverse City, MI 49684-7759
Mailing Address3643 W Front St, Suite CTraverse City, MI 49684-7759 · (231) 935-0614 · Fax (231) 935-0832
Phone(231) 935-0614
Fax(231) 935-0832
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2001
Enumeration DateAugust 19, 2005
Last NPPES UpdateDecember 18, 2020
NPPES CertifiedDecember 18, 2020
✔ NPI 1487646923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4304077817
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3643 W FRONT ST, Traverse City, MI 49684
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Other Identifiers 1

Medicaid104728394MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. John J Gorman 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 ID9032146246
PECOS Enrollment IDI20080827000238
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 9

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.
146 services91 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.
144 services117 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
99 services99 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
86 services86 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
43 services30 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Paul Oliver Memorial Hospital

Critical Access Hospitals · Frankfort, MI
OwnershipGovernment - Local
CMS Certification Number231300
Location224 Park AvenueFrankfort, MI 49635 · Benzie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers17 claims17 services$180.15 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 10

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

DR. ROBERT E KUHN D.O.
Internal Medicine
3643 W FRONT ST, SUITE C
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0614
DR. WALTER K MEEKER M.D.
Internal Medicine
3643 W FRONT ST, SUITE C
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0614
NORTHERN MICHIGAN MEDICINE AND PEDIATRICS, PLLC
Pediatrics
3643 W FRONT ST, SUITE C
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0614
MARY BONNIE SMITH C.P.N.P.
Nurse Practitioner (Pediatrics)
3643 W FRONT ST, SUITE C
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0614
MRS. AMY LYNN REAM AT.,C
Specialist/Technologist (Athletic Trainer)
3643 W FRONT ST, SUITE B
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0590
DR. JEFFREY JOHN KELLY D.O.
Dermatology
3643 W FRONT ST, SUITE A
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0620
CURT JEFFREY SCHUBERT M.D.
Pediatrics
3643 W FRONT ST, SUITE C
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0614
ASSOCIATES IN DERMATOLOGY OF TRAVERSE CITY PC
Dermatology (Dermatopathology)
3643 W FRONT ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0625

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 John Gorman's NPI number?

The NPI number for John Gorman is 1487646923. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is John Gorman located?

John Gorman practices at 3643 W Front St Suite C, Traverse City, MI 49684. The listed phone number is (231) 935-0614.

What is John Gorman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Gorman enrolled in Medicare?

Yes. John Gorman 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 John Gorman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list John Gorman 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 John Gorman affiliated with any hospitals?

According to CMS data, John Gorman is affiliated with Munson Medical Center and Paul Oliver Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Gorman was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.