DR. RAYMOND J GOTANCO M.D.
NPI 1679525505
Hospitalist in Indianapolis, IN

Q: What is Raymond Gotanco's NPI number?

The NPI number for Raymond Gotanco is 1679525505. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Raymond Gotanco's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Raymond Gotanco was last updated on May 10, 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.

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment

63.59/100

CMS Quality Rating

8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278(317) 802-2000(317) 802-2170 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2024, Mar 18, 2021, Jan 29, 2016 (3 updates tracked since 2016).

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About Dr. Raymond J Gotanco M.d. NPPES

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

DR. RAYMOND J GOTANCO M.D. (NPI 1679525505) is an individual hospitalist provider in Indianapolis, Indiana, licensed in Indiana (01055908A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Orthoindy Hospital, and is a graduate of Southern Illinois University School Of Medicine (1999).

NPPES Registry Identity

NPI1679525505

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. RAYMOND J GOTANCOCredential: M.D.

Location Address8450 NORTHWEST BLVDIndianapolis, IN 46278-1381

Mailing Address8450 Northwest BlvdIndianapolis, IN 46278-1381 · (317) 802-2000 · Fax (317) 802-2170

Phone(317) 802-2000

Fax(317) 802-2170

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 1999

Enumeration DateMay 17, 2006

Last NPPES UpdateMay 10, 20243 updates tracked since enumeration

NPPES CertifiedMay 10, 2024

✔ NPI 1679525505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in IN · 01055908A

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 01055908A (IN)

8450 NORTHWEST BLVD, Indianapolis, IN 46278

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Other Identifiers 1

Medicaid200383310IN

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

Dr. Raymond J Gotanco 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 ID2961414032

PECOS Enrollment IDI20060608000290

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 6

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.

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.

529 services311 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

194 services191 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

182 services180 patients

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.

143 services143 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.

102 services76 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

54 services54 patients

Hospital Affiliations CMS Care Compare

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

Orthoindy Hospital

Acute Care Hospitals · Indianapolis, IN

OwnershipPhysician

CMS Certification Number150160

Location8400 Northwest BlvdIndianapolis, IN 46278 · Marion County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46278 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

63.59/100

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

Scored as part of a group practice

Quality

28.15

Promoting Interoperability

Improvement Activities

Cost

61.31

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.

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