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DR. BRUCE A. GORBY D.O.
NPI 1659319457
Family Medicine in Mill Creek, WV

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
US ROUTE 219 AND 250, MILL CREEK, WV 26280(304) 335-2050 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Bruce A. Gorby D.o. NPPES

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

DR. BRUCE A. GORBY D.O. (NPI 1659319457) is an individual family medicine provider in Mill Creek, West Virginia, licensed in West Virginia (1218) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of West Virginia School Of Osteopathic Medicine (1988).

NPPES Registry Identity

NPI1659319457
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BRUCE A. GORBYCredential: D.O.
Location AddressUS ROUTE 219 AND 250Mill Creek, WV 26280-0247
Mailing AddressPo Box 247Mill Creek, WV 26280
Phone(304) 335-2050
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1988
Enumeration DateJune 3, 2006
Last NPPES UpdateMarch 5, 2026
NPPES CertifiedMarch 5, 2026
✔ NPI 1659319457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 1218
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 1218 (WV)
US ROUTE 219 AND 250, Mill Creek, WV 26280
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Secondary Practice Locations 2

Location 111 N Locust StBuckhannon, WV 26201-4707 · Phone (304) 472-1600
Location 2812 Gorman AveElkins, WV 26241-3181 · Phone (304) 637-3948

Other Identifiers 3

Other000695656WV · Bcbs
Medicaid0042211000WV
OtherP00234106WV · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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. Bruce A. Gorby 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 ID8426027715
PECOS Enrollment IDI20041004000099
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

5

Medicare enrollment records show Bruce Gorby reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Appalachian Community Health Center
13 mi
Mental Health (Including Community Mental Health Center)
725 YOKUM STREET
Elkins, WV 26241
  • Reassigned Medicare billing, West Virginia enrollment
  • 8 clinicians in this Medicare group
NPI 1639237837 (304) 636-3232
Davis Memorial Hospital
13 mi
General Acute Care Hospital
812 GORMAN AVE
Elkins, WV 26241
  • Reassigned Medicare billing, West Virginia enrollment
  • 246 clinicians in this Medicare group
NPI 1619964806 (304) 636-3300
Stonewall Jackson Memorial Hospital Company
35 mi
Rural
230 HOSPITAL PLZ
Weston, WV 26452
  • Reassigned Medicare billing, West Virginia enrollment
  • 134 clinicians in this Medicare group
NPI 1477559433 (304) 269-8000
Valley Comprehensive Community Mental Health Center, Inc.
58 mi
Mental Health
301 SCOTT AVE
Morgantown, WV 26508
  • Reassigned Medicare billing, West Virginia enrollment
  • 14 clinicians in this Medicare group
NPI 1861476350 (304) 296-1731
Minnie Hamilton Health Care Center, Inc.
62 mi
Critical Access
186 HOSPITAL DRIVE
Grantsville, WV 26147
  • Reassigned Medicare billing, West Virginia enrollment
  • 36 clinicians in this Medicare group
NPI 1124029400 (304) 354-9244

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26280 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
69%75 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
57%180 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
54%72 patients3/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
45%277 patients3/55-star benchmark: 88%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Bruce Gorby's NPI number?

The NPI number for Bruce Gorby is 1659319457. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Bruce Gorby located?

Bruce Gorby practices at Us Route 219 And 250, Mill Creek, WV 26280. The listed phone number is (304) 335-2050.

What is Bruce Gorby's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bruce Gorby enrolled in Medicare?

Yes. Bruce Gorby 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 Bruce Gorby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bruce Gorby reassigns Medicare benefits to 5 organizations: Appalachian Community Health Center (Elkins, WV), Davis Memorial Hospital (Elkins, WV), Stonewall Jackson Memorial Hospital Company (Weston, WV), Valley Comprehensive Community Mental Health Center, Inc. (Morgantown, WV) and Minnie Hamilton Health Care Center, Inc. (Grantsville, WV). 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 Bruce Gorby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bruce Gorby accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Bruce Gorby 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.

When was this NPI record last updated?

The NPPES record for Bruce Gorby was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.