MR. JORY CHRISTOPHER JAMES GOTHAM PA-C
NPI 1528437357
Physician Assistant - Surgical in South Charleston, WV

Q: What is Jory Gotham's NPI number?

The NPI number for Jory Gotham is 1528437357. It was assigned to this individual provider in the NPPES registry on September 22, 2015.

Q: What is Jory Gotham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jory Gotham was last updated on December 23, 2021. 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.

Active since September 22, 2015PECOS EnrolledAccepts Medicare Assignment

90.11/100

CMS Quality Rating

4607 MACCORKLE AVE SW STE 401, SOUTH CHARLESTON, WV 25309(304) 414-2120 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 23, 2021, Aug 17, 2021, Jan 5, 2021 and 3 more (6 updates tracked since 2019).

On this page

About Mr. Jory Christopher James Gotham Pa-c NPPES

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

MR. JORY CHRISTOPHER JAMES GOTHAM PA-C (NPI 1528437357) is an individual surgical provider in South Charleston, West Virginia, licensed in West Virginia (819) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1528437357

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. JORY CHRISTOPHER JAMES GOTHAMCredential: PA-C

Location Address4607 MACCORKLE AVE SW STE 401South Charleston, WV 25309-1364

Mailing Address4605 Maccorkle Ave SwSouth Charleston, WV 25309-1311 · (304) 414-4800

Phone(304) 414-2120

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 22, 2015

Last NPPES UpdateDecember 23, 20216 updates tracked since enumeration

NPPES CertifiedDecember 23, 2021

✔ NPI 1528437357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in WV · 819

Also ListedPhysician AssistantTaxonomy 363A00000X · License 819 (WV)

4607 MACCORKLE AVE SW STE 401, South Charleston, WV 25309

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Mr. Jory Christopher James Gotham Pa-c 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 ID9234563461

PECOS Enrollment IDI20191223000061

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 2

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.

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

64 services55 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.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510029

Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County

Emergency services Birthing friendly

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.

90.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

66.96

Promoting Interoperability

100

Improvement Activities

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.

PHILLIP D SURFACE D.O

Orthopaedic Surgery

4607 MACCORKLE AVE SW STE 401
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 414-2120

KIMBERLY REBECCA SAUL FNP

Nurse Practitioner (Family)

4607 MACCORKLE AVE SW STE 401
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 414-2127

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 Jory Gotham's NPI number?

The NPI number for Jory Gotham is 1528437357. It was assigned to this individual provider in the NPPES registry on September 22, 2015.

Where is Jory Gotham located?

Jory Gotham practices at 4607 Maccorkle Ave SW Ste 401, South Charleston, WV 25309. The listed phone number is (304) 414-2120.

What is Jory Gotham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jory Gotham enrolled in Medicare?

Yes. Jory Gotham 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 Jory Gotham accept?

Health plans from CareSource list Jory Gotham 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 Jory Gotham affiliated with any hospitals?

According to CMS data, Jory Gotham is affiliated with Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jory Gotham was last updated on December 23, 2021. 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.