CAROLINE ANNE GORKA MD
NPI 1497215578
Emergency Medicine in Boston, MA

Active since March 23, 2019PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118(617) 414-4929 Get Directions Write a Review

NPPES record last updated: May 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2022, Mar 23, 2019 (2 updates tracked since 2019).

About Caroline Anne Gorka Md NPPES

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

CAROLINE ANNE GORKA MD (NPI 1497215578) is an individual emergency medicine provider in Boston, Massachusetts, licensed in Massachusetts (1497215578) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of State University Of New York At Buffalo School Of Medicine (2019).

NPPES Registry Identity

NPI1497215578
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameCAROLINE ANNE GORKACredential: MD
Location Address1 BOSTON MEDICAL CTR PLBoston, MA 02118-2908
Mailing Address1 Boston Medical Ctr PlBoston, MA 02118-2908 · (617) 414-4929
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2019
Enumeration DateMarch 23, 2019
Last NPPES UpdateMay 21, 20222 updates tracked since enumeration
NPPES CertifiedMay 21, 2022
NPI 1497215578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MA · 1497215578
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 279955 (MA)
1 BOSTON MEDICAL CTR PL, Boston, MA 02118

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

Caroline Anne Gorka 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 ID7113250655
PECOS Enrollment IDI20230628000748
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
108 services107 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
55 services53 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.
22 services22 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost58.7

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.

Nurse Anesthetist, Certified Registered
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Physician Assistant
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Psychologist (Clinical)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Nurse Practitioner (Psychiatric/Mental Health)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Emergency Medicine
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH
BOSTON, MA 02118
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Nurse Practitioner
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH
BOSTON, MA 02118

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 Caroline Gorka's NPI number?

The NPI number for Caroline Gorka is 1497215578. It was assigned to this individual provider in the NPPES registry on March 23, 2019.

Where is Caroline Gorka located?

Caroline Gorka practices at 1 Boston Medical Ctr Pl, Boston, MA 02118. The listed phone number is (617) 414-4929.

What is Caroline Gorka's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Caroline Gorka enrolled in Medicare?

Yes. Caroline Gorka 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.

Is Caroline Gorka affiliated with any hospitals?

According to CMS data, Caroline Gorka is affiliated with Cambridge Health Alliance.

When was this NPI record last updated?

The NPPES record for Caroline Gorka was last updated on May 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.