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DR. ELZBIETA E GORNISIEWICZ MD
NPI 1740277565
Psychiatry & Neurology - Neurology in Oak Ridge, TN

Active since October 06, 2005PECOS EnrolledAccepts Medicare Assignment
988 OAK RIDGE TPKE, SUITE 300, OAK RIDGE, TN 37830(865) 481-0333(865) 482-9614 Get Directions Write a Review

NPPES record last updated: November 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Elzbieta E Gornisiewicz Md NPPES

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

DR. ELZBIETA E GORNISIEWICZ MD (NPI 1740277565) is an individual neurology provider in Oak Ridge, Tennessee, licensed in Tennessee (MD36594) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1740277565
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. ELZBIETA E GORNISIEWICZCredential: MD
Location Address988 OAK RIDGE TPKE, SUITE 300Oak Ridge, TN 37830-6930
Mailing Address988 Oak Ridge Tpke, Suite 300Oak Ridge, TN 37830-6930 · (865) 481-0333 · Fax (865) 482-9614
Phone(865) 481-0333
Fax(865) 482-9614
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 6, 2005
Last NPPES UpdateNovember 11, 2008
✔ NPI 1740277565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TN · MD36594
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
988 OAK RIDGE TPKE, Oak Ridge, TN 37830
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Other Identifiers 4

Other130025933TN · Railroad Medicare
Medicare PIN3877555TN
Medicare UPINH71859TN
Medicaid1740277565TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Dr. Elzbieta E Gornisiewicz Md 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 ID9537298518
PECOS Enrollment IDI20250513001977, I20260202002321
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 7

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.
217 services168 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.
61 services55 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
54 services51 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
44 services42 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.
36 services36 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
31 services31 patients

Hospital Affiliations CMS Care Compare 2

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

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510058
Location800 Garfield AveParkersburg, WV 26101 · Wood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37830 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
59%443 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
65%124 patients3/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
88%168 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
88%442 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
62%442 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
10%442 patients1/55-star benchmark: 79%
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.

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.

MS. MARY S CLEMENS FNP
Nurse Practitioner (Family)
988 OAK RIDGE TPKE, SUITE L-50, PHYSICIANS PLAZA
OAK RIDGE, TN 37830
Anderson County (865) 835-4320
MRS. MARY CHRISTINA STAUBER P.A.-C.
Physician Assistant (Surgical)
988 OAK RIDGE TPKE, PHYSICIANS PLAZA, STE 350
OAK RIDGE, TN 37830
Anderson County (865) 483-7030
DR. SCOTT W PETERS MD
Obstetrics & Gynecology
988 OAK RIDGE TPKE, SUITE 140
OAK RIDGE, TN 37830
Anderson County (865) 483-7415
OAK RIDGE GASTROENTEROLOGY ASSOCIATES, PC
Internal Medicine (Gastroenterology)
988 OAK RIDGE TPKE, SUITE 200, PHYSICIANS PLAZA
OAK RIDGE, TN 37830
Anderson County (865) 483-4366
DR. KATHRYN J HAYES MD
Obstetrics & Gynecology
988 OAK RIDGE TPKE, SUITE 140
OAK RIDGE, TN 37830
Anderson County (865) 483-7415
RONALD KEITH WRAY MD
Internal Medicine (Gastroenterology)
988 OAK RIDGE TPKE, SUITE 200, PHYSICIANS PLAZA
OAK RIDGE, TN 37830
Anderson County (865) 483-4366
DR. DAVID GRANVILLE STANLEY M.D.
Surgery (Vascular Surgery)
988 OAK RIDGE TPKE, PHYSICIANS PLAZA, STE 350
OAK RIDGE, TN 37830
Anderson County (865) 483-7030
CHARLES B ORTON MD
Internal Medicine (Gastroenterology)
988 OAK RIDGE TPKE, STE 200
OAK RIDGE, TN 37830
Anderson County (865) 483-4366

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 Elzbieta Gornisiewicz's NPI number?

The NPI number for Elzbieta Gornisiewicz is 1740277565. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Elzbieta Gornisiewicz located?

Elzbieta Gornisiewicz practices at 988 Oak Ridge Tpke Suite 300, Oak Ridge, TN 37830. The listed phone number is (865) 481-0333.

What is Elzbieta Gornisiewicz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Elzbieta Gornisiewicz enrolled in Medicare?

Yes. Elzbieta Gornisiewicz 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 Elzbieta Gornisiewicz accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Elzbieta Gornisiewicz 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 Elzbieta Gornisiewicz affiliated with any hospitals?

According to CMS data, Elzbieta Gornisiewicz is affiliated with York Hospital and Camden Clark Medical Center.

When was this NPI record last updated?

The NPPES record for Elzbieta Gornisiewicz was last updated on November 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.