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JAMES SEAN GORMAN MD
NPI 1912082637
Emergency Medicine in Gold Canyon, AZ

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
97.75/100
CMS Quality Rating
4496 S KINGS RANCH RD, GOLD CANYON, AZ 85118(520) 991-7661 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2022, Apr 24, 2020 (2 updates tracked since 2020).

About James Sean Gorman Md NPPES

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

JAMES SEAN GORMAN MD (NPI 1912082637) is an individual emergency medicine provider in Gold Canyon, Arizona, licensed in Arizona (30977) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1993).

NPPES Registry Identity

NPI1912082637
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES SEAN GORMANCredential: MD
Location Address4496 S KINGS RANCH RDGold Canyon, AZ 85118-4628
Mailing AddressPo Box 43130Tucson, AZ 85733-3130 · (520) 722-3777 · Fax (520) 296-6224
Phone(520) 991-7661
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1993
Enumeration DateOctober 25, 2006
Last NPPES UpdateMay 19, 20222 updates tracked since enumeration
NPPES CertifiedApril 24, 2020
✔ NPI 1912082637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AZ · 30977
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4496 S KINGS RANCH RD, Gold Canyon, AZ 85118
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Other Identifiers 1

Medicaid742082AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

James Sean Gorman 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 ID3274514971
PECOS Enrollment IDI20040527001269
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85118 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

97.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost92.52

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 James Gorman's NPI number?

The NPI number for James Gorman is 1912082637. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is James Gorman located?

James Gorman practices at 4496 S Kings Ranch Rd, Gold Canyon, AZ 85118. The listed phone number is (520) 991-7661.

What is James Gorman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Gorman enrolled in Medicare?

Yes. James Gorman 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 James Gorman accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list James Gorman 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 James Gorman was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.