RAAFAT GORGY DO
NPI 1700137734
Family Medicine in Southbury, CT

Active since October 01, 2012PECOS EnrolledAccepts Medicare Assignment
690 MAIN ST S, SOUTHBURY, CT 06488(203) 264-6503 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Raafat Gorgy Do NPPES

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

RAAFAT GORGY DO (NPI 1700137734) is an individual family medicine provider in Southbury, Connecticut, licensed in Connecticut (67071) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and maintains a secondary practice location in Vineland.

NPPES Registry Identity

NPI1700137734
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAAFAT GORGYCredential: DO
Location Address690 MAIN ST SSouthbury, CT 06488-2267
Mailing Address690 Main St SSouthbury, CT 06488-2267 · (475) 244-9298
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2010
Enumeration DateOctober 1, 2012
Last NPPES UpdateDecember 3, 2020
NPPES CertifiedDecember 3, 2020
✔ NPI 1700137734 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 CT · 67071
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.
690 MAIN ST S, Southbury, CT 06488

Secondary Practice Location 1

Location 11505 West Sherman Avenue, South Jesey Healthcare-RMCVineland, NJ 08360 · Phone (856) 641-7675 · Fax (856) 575-4944

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

Raafat Gorgy Do 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 ID9638494743
PECOS Enrollment IDI20250224001554
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

4

Medicare enrollment records show Raafat Gorgy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
71 HAYNES ST, MILLER BLDG., FLOOR G
Manchester, CT 06040
  • Reassigned Medicare billing, Connecticut enrollment
  • 422 clinicians in this Medicare group
Geriatric Medicine
151 MACKAY DR
Tenafly, NJ 07670
  • Reassigned Medicare billing, New Jersey enrollment
  • 24 clinicians in this Medicare group
Geriatric Medicine
245 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 4 clinicians in this Medicare group
Geriatric Medicine
290 RED SCHOOL LN
Phillipsburg, NJ 08865
  • Reassigned Medicare billing, New Jersey enrollment
  • 12 clinicians in this Medicare group

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

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.

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.
91 services54 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
44 services44 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
41 services41 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
39 services39 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
26 services11 patients

Hospital Affiliations CMS Care Compare

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06488 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Other Providers at the Same Location NPPES

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

Orthopaedic Surgery
690 MAIN ST S
SOUTHBURY, CT 06488

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 Raafat Gorgy's NPI number?

The NPI number for Raafat Gorgy is 1700137734. It was assigned to this individual provider in the NPPES registry on October 1, 2012.

Where is Raafat Gorgy located?

Raafat Gorgy practices at 690 Main St S, Southbury, CT 06488. The listed phone number is (203) 264-6503.

What is Raafat Gorgy's specialty?

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

Is Raafat Gorgy enrolled in Medicare?

Yes. Raafat Gorgy 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 Raafat Gorgy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raafat Gorgy reassigns Medicare benefits to 4 organizations: Prospect Ct Medical Foundation, Inc. (Manchester, CT), Ritu Suri MD, LLC (Tenafly, NJ), North Jersey Medical & Geriatric Associates LLC (Englewood, NJ) and Pai Participant 25 PC (Phillipsburg, NJ). 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 Raafat Gorgy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Raafat Gorgy affiliated with any hospitals?

According to CMS data, Raafat Gorgy is affiliated with Valley Hospital.

When was this NPI record last updated?

The NPPES record for Raafat Gorgy was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.