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ELAN GORSHEIN DO, JD, MPH
NPI 1821364019
Internal Medicine - Hematology & Oncology in Guilford, CT

Active since April 01, 2012PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
YALE-NEW HAVEN SHORELINE MEDICAL CENTER, 111 GOOSE LANE, SUITE 1300, GUILFORD, CT 06437(203) 453-9192 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2021, May 23, 2018, May 18, 2018 (3 updates tracked since 2018).

About Elan Gorshein Do, Jd, Mph NPPES

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

ELAN GORSHEIN DO, JD, MPH (NPI 1821364019) is an individual hematology & oncology provider in Guilford, Connecticut, licensed in Connecticut (60343) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1821364019
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameELAN GORSHEINCredential: DO, JD, MPH
Location AddressYALE-NEW HAVEN SHORELINE MEDICAL CENTER, 111 GOOSE LANE, SUITE 1300Guilford, CT 06437
Mailing AddressYale-new Haven Shoreline Medical Center, 111 Goose Lane, Suite 1300Guilford, CT 06437 · (203) 453-9192 · Fax (203) 453-0875
Phone(203) 453-9192
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 1, 2012
Last NPPES UpdateMarch 2, 20213 updates tracked since enumeration
NPPES CertifiedMarch 2, 2021
✔ NPI 1821364019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in CT · 60343
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 60343 (CT)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 60343 (CT)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
YALE-NEW HAVEN SHORELINE MEDICAL CENTER, Guilford, CT 06437
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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

Elan Gorshein Do, Jd, Mph 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 ID3577855741
PECOS Enrollment IDI20180621001722
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 10

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.
146 services110 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.
146 services21 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.
134 services113 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.
67 services67 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.
37 services32 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.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06437 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
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.

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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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 Elan Gorshein's NPI number?

The NPI number for Elan Gorshein is 1821364019. It was assigned to this individual provider in the NPPES registry on April 1, 2012.

Where is Elan Gorshein located?

Elan Gorshein practices at Yale-New Haven Shoreline Medical Center 111 Goose Lane, Suite 1300, Guilford, CT 06437. The listed phone number is (203) 453-9192.

What is Elan Gorshein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Elan Gorshein enrolled in Medicare?

Yes. Elan Gorshein 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.

When was this NPI record last updated?

The NPPES record for Elan Gorshein was last updated on March 2, 2021. 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.