ANDREW K GORMLEY MD
NPI 1881662054
Pediatrics - Pediatric Critical Care Medicine in Oklahoma City, OK
About Andrew K Gormley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW K GORMLEY MD (NPI 1881662054) is an individual pediatric critical care medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (20757) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kalispell, and is a graduate of University Of Oklahoma College Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Andrew K Gormley 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.
Medicare Billing Reassignments
4Medicare enrollment records show Andrew Gormley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 1,795 clinicians in this Medicare group
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 845 clinicians in this Medicare group
Oklahoma City, OK 73134
- Reassigned Medicare billing, Oklahoma enrollment
- 1,058 clinicians in this Medicare group
Polson, MT 59860
- Reassigned Medicare billing, Montana enrollment
- 483 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.
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.
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.
OKLAHOMA CITY, OK 73104
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 Andrew Gormley's NPI number?
The NPI number for Andrew Gormley is 1881662054. It was assigned to this individual provider in the NPPES registry on March 14, 2006.
Where is Andrew Gormley located?
Andrew Gormley practices at 940 NE 13th St 6g6115, Oklahoma City, OK 73104. The listed phone number is (405) 271-5211.
What is Andrew Gormley's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is Andrew Gormley enrolled in Medicare?
Yes. Andrew Gormley 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 Andrew Gormley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Gormley reassigns Medicare benefits to 4 organizations: Ou Health Partners, Inc (Oklahoma City, OK), Board Of Regents Of The University Of Oklahoma - Ou Physicians (Oklahoma City, OK), Integris Ambulatory Care Corporation (Oklahoma City, OK) and Kalispell Regional Medical Center Inc (Polson, MT). 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 Andrew Gormley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Gormley accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, CareSource, Mountain Health CO-OP and PacificSource Health Plans list Andrew Gormley 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.
When was this NPI record last updated?
The NPPES record for Andrew Gormley was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Andrew K Gormley, MD · NPI 1881662054
Pediatric Critical Care Medicine physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since March 14, 2006.
## Identity
- **NPI:** 1881662054 (Entity type: Individual)
- **Enumerated:** March 14, 2006
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** 20757 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 940 NE 13TH ST, 6G6115, Oklahoma City, OK 73104-5008
- **Phone:** (405) 271-5211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Ou Health Partners, Inc (NPI 1528642642, Oklahoma City, OK); Board Of Regents Of The University Of Oklahoma - Ou Physicians (NPI 1801869250, Oklahoma City, OK); Integris Ambulatory Care Corporation (NPI 1750333936, Oklahoma City, OK); Kalispell Regional Medical Center Inc (NPI 1528386802, Polson, MT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Oklahoma College Of Medicine, class of 1997
## Record status
- **NPPES last updated:** January 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1881662054) · Data from the CMS NPPES public registry.