THOMAS B GORE M.D.
NPI 1639164874
Internal Medicine - Cardiovascular Disease in Lagrange, GA

Active since September 14, 2005PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
1551 DOCTORS DR, BUILDING 200, LAGRANGE, GA 30240(706) 884-2641(706) 884-2353 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2019, Feb 12, 2018 (2 updates tracked since 2018).

About Thomas B Gore M.d. NPPES

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

THOMAS B GORE M.D. (NPI 1639164874) is an individual cardiovascular disease provider in Lagrange, Georgia, licensed in Georgia (027553) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Wellstar West Georgia Medical Center, and maintains a secondary practice location in Lagrange.

NPPES Registry Identity

NPI1639164874
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameTHOMAS B GORECredential: M.D.
Location Address1551 DOCTORS DR, BUILDING 200Lagrange, GA 30240-4139
Mailing Address1551 Doctors Dr, Building 200Lagrange, GA 30240-4139 · (706) 884-2641 · Fax (706) 884-2353
Fax(706) 884-2353
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1979
Enumeration DateSeptember 14, 2005
Last NPPES UpdateSeptember 30, 20192 updates tracked since enumeration
NPI 1639164874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in GA · 027553
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1551 DOCTORS DR, Lagrange, GA 30240

Secondary Practice Location 1

Location 11602 Vernon Rd Ste 300LaGrange, GA 30240-4129 · Phone (706) 242-5100 · Fax (706) 812-2454

Other Identifiers 1

Medicaid000304961AGA

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

Thomas B Gore 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 ID6800962788
PECOS Enrollment IDI20100909001007
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 27

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.
982 services509 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
691 services510 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
279 services19 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
225 services69 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
224 services16 patients
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.
207 services111 patients

Hospital Affiliations CMS Care Compare 3

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

Wellstar West Georgia Medical Center

Acute Care Hospitals · Lagrange, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110016
Location1514 Vernon RoadLagrange, GA 30240 · Troup County
Emergency services Birthing friendly

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30240 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner
1551 DOCTORS DR, BUILDING 200
LAGRANGE, GA 30240
Physician Assistant
1551 DOCTORS DR
LAGRANGE, GA 30240
Internal Medicine (Pulmonary Disease)
1551 DOCTORS DR
LAGRANGE, GA 30240
Internal Medicine (Gastroenterology)
1551 DOCTORS DR
LAGRANGE, GA 30240
Internal Medicine (Critical Care Medicine)
1551 DOCTORS DR
LAGRANGE, GA 30240
Nurse Practitioner (Family)
1551 DOCTORS DR
LAGRANGE, GA 30240
Specialist
1551 DOCTORS DR
LAGRANGE, GA 30240
Nurse Practitioner
1551 DOCTORS DR
LAGRANGE, GA 30240

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 Thomas Gore's NPI number?

The NPI number for Thomas Gore is 1639164874. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Thomas Gore located?

Thomas Gore practices at 1551 Doctors Dr Building 200, Lagrange, GA 30240. The listed phone number is (706) 884-2641.

What is Thomas Gore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Thomas Gore enrolled in Medicare?

Yes. Thomas Gore 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 Thomas Gore accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Thomas Gore 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 Thomas Gore affiliated with any hospitals?

According to CMS data, Thomas Gore is affiliated with Wellstar West Georgia Medical Center, Wellstar Kennestone Regional Medical Center and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Thomas Gore was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.