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JOEL A RICCI GORBEA M.D.
NPI 1669657284
Surgery in Flushing, NY

Active since January 02, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
56-45 MAIN STREET, W-LL300, FLUSHING, NY 11355(718) 445-0220(718) 939-1167 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joel A Ricci Gorbea M.d. NPPES

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

JOEL A RICCI GORBEA M.D. (NPI 1669657284) is an individual surgery provider in Flushing, New York, licensed in New York (257404) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and is a graduate of Ponce School Of Medicine (2005).

NPPES Registry Identity

NPI1669657284
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOEL A RICCI GORBEACredential: M.D.
Location Address56-45 MAIN STREET, W-LL300Flushing, NY 11355-5045
Mailing Address56-45 Main Street, W-ll300Flushing, NY 11355-5045 · (718) 445-0220 · Fax (718) 939-1167
Phone(718) 445-0220
Fax(718) 939-1167
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2005
Enumeration DateJanuary 2, 2008
Last NPPES UpdateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
✔ NPI 1669657284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 257404
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
56-45 MAIN STREET, Flushing, NY 11355
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Other Names 1

Other Name (5)Joel A Ricci M.d.

Other Identifiers 2

Medicaid03255869INDIVIDNY
Medicaid02992390GROUPNY

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

Joel A Ricci Gorbea 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 ID1951597863
PECOS Enrollment IDI20101117001597
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 5

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services25 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.
28 services26 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.
21 services19 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330055
Location56-45 Main StreetFlushing, NY 11355 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

DANIELLE GELB MS, CGC
Genetic Counselor, MS
56-45 MAIN STREET, NEW YORK PRESBYTERIAN/QUEENS
FLUSHING, NY 11355
Queens County (718) 661-7042
MS. GURLIN KAUR-SINGH PA-C
Physician Assistant
56-45 MAIN STREET, NEW YORK HOSPITAL QUEENS
FLUSHING, NY 11355
Queens County (718) 670-2000
DR. JAMIE ALISON EDELSTEIN M.D.
Emergency Medicine
56-45 MAIN STREET
FLUSHING, NY 11355
Queens County (718) 670-1100
BRENDA LEE-HAO LIU MD
Emergency Medicine
56-45 MAIN STREET, NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS - EMERGENCY
FLUSHING, NY 11355
Queens County (718) 670-1231
DAVID BARLAS MD
Emergency Medicine
56-45 MAIN STREET, NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS - EMERGENCY
FLUSHING, NY 11355
Queens County (718) 670-1231
MITCHELL MELIKHOV-SOSIN MD
Emergency Medicine
56-45 MAIN STREET
FLUSHING, NY 11355
Queens County (718) 661-7305
CHRISTINE MATHEW MD
Student in an Organized Health Care Education/Training Program
56-45 MAIN STREET
FLUSHING, NY 11355
Queens County (718) 670-1347
DR. GALAL ASHRAF ELSAYED MD
Neurological Surgery
56-45 MAIN STREET, DEPARTMENT OF NEUROSURGERY
FLUSHING, NY 11355
Queens County (718) 670-0002

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 Joel Ricci Gorbea's NPI number?

The NPI number for Joel Ricci Gorbea is 1669657284. It was assigned to this individual provider in the NPPES registry on January 2, 2008. The provider is also known as Joel A Ricci M.D..

Where is Joel Ricci Gorbea located?

Joel Ricci Gorbea practices at 56-45 Main Street W-Ll300, Flushing, NY 11355. The listed phone number is (718) 445-0220.

What is Joel Ricci Gorbea's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Joel Ricci Gorbea enrolled in Medicare?

Yes. Joel Ricci Gorbea 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 Joel Ricci Gorbea affiliated with any hospitals?

According to CMS data, Joel Ricci Gorbea is affiliated with New York-Presbyterian/Queens.

When was this NPI record last updated?

The NPPES record for Joel Ricci Gorbea was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.