ZHIJIE GAO MD
NPI 1942434774
Internal Medicine - Hematology & Oncology in Rockingham, VA
Active since May 07, 2009PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
2008 HEALTH CAMPUS DR, ROCKINGHAM, VA 22801(540) 689-7000(540) 689-7011 Get Directions Write a Review
About Zhijie Gao Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZHIJIE GAO MD (NPI 1942434774) is an individual hematology & oncology provider in Rockingham, Virginia, licensed in Virginia (0101252964) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and is a graduate of Other (1990).
NPPES Registry Identity
NPI1942434774
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameZHIJIE GAOCredential: MD
Location Address2008 HEALTH CAMPUS DRRockingham, VA 22801-8679
Mailing AddressPo Box 1430Harrisonburg, VA 22803-1430 · (540) 689-7000 · Fax (540) 689-7011
Phone(540) 689-7000
Fax(540) 689-7011
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMay 7, 2009
Last NPPES UpdateMay 27, 20203 updates tracked since enumeration
NPPES CertifiedMay 27, 2020
✔ NPI 1942434774 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in VA · 0101252964✔ Licensed in MD · D76709
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.
2008 HEALTH CAMPUS DR, Rockingham, VA 22801
Other Identifiers 2
Medicaid1942434774VA
Medicaid954120900MD
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
Zhijie Gao 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 ID8224340450
PECOS Enrollment IDI20200331000420
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 6
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.
922 services340 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.
207 services77 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.
166 services133 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.
32 services32 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.
22 services22 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services20 patients
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sentara Rmh Medical Center
Acute Care Hospitals · Harrisonburg, VAOwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County
Emergency services Birthing friendly
Page Memorial Hospital, Inc
Critical Access Hospitals · Luray, VAOwnershipVoluntary non-profit - Private
CMS Certification Number491307
Location200 Memorial DriveLuray, VA 22835 · Page County
Emergency services
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22801 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.
95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment ModelQuality
86.31
Promoting Interoperability
100
Improvement Activities
40
Reported Quality Measures
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
100%261 patients5/55-star benchmark: 96%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
100%67 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,899 patients5/55-star benchmark: 100%
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.
83%1,685 patients4/55-star benchmark: 100%
Hematology: Chronic Lymphocytic Leukemia (CLL): Baseline Flow Cytometry
Percentage of patients aged 18 years and older, seen within a 12 month reporting period, with a diagnosis of chronic lymphocytic leukemia (CLL) made at any time during or prior to the reporting period who had baseline flow cytometry studies performed and…
100%21 patients
Hematology: Myelodysplastic Syndrome (MDS) and Acute Leukemias: Baseline Cytogenetic Testing Performed on Bone Marrow
Percentage of patients aged 18 years and older with a diagnosis of myelodysplastic syndrome (MDS) or an acute leukemia who had baseline cytogenetic testing performed on bone marrow
100%25 patients
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.
100%325 patients5/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
100%642 patients5/55-star benchmark: 100%
Oncology: Medical and Radiation - Plan of Care for Pain
Percentage of visits for patients, regardless of age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy who report having pain with a documented plan of care to address pain
100%120 patients5/55-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.
39%1,273 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
18%57 patients1/55-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…
59%1,273 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…
34%1,273 patients2/55-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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers27 claims2,354 services$0.67 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers17 claims17 services$22.89 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers17 claims17 services$8.48 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers17 claims17 services$17.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Internal Medicine (Hematology & Oncology)
2008 HEALTH CAMPUS DR
ROCKINGHAM, VA 22801
ROCKINGHAM, VA 22801
Internal Medicine (Medical Oncology)
2008 HEALTH CAMPUS DR
ROCKINGHAM, VA 22801
ROCKINGHAM, VA 22801
Internal Medicine (Hematology & Oncology)
2008 HEALTH CAMPUS DR
ROCKINGHAM, VA 22801
ROCKINGHAM, VA 22801
Internal Medicine (Hematology & Oncology)
2008 HEALTH CAMPUS DR
HARRISONBURG, VA 22801
HARRISONBURG, VA 22801
Internal Medicine (Hematology & Oncology)
2008 HEALTH CAMPUS DR
ROCKINGHAM, VA 22801
ROCKINGHAM, VA 22801
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 Zhijie Gao's NPI number?
The NPI number for Zhijie Gao is 1942434774. It was assigned to this individual provider in the NPPES registry on May 7, 2009.
Where is Zhijie Gao located?
Zhijie Gao practices at 2008 Health Campus Dr, Rockingham, VA 22801. The listed phone number is (540) 689-7000.
What is Zhijie Gao's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is Zhijie Gao enrolled in Medicare?
Yes. Zhijie Gao 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.
Is Zhijie Gao affiliated with any hospitals?
According to CMS data, Zhijie Gao is affiliated with Sentara Rmh Medical Center and Page Memorial Hospital, Inc.
When was this NPI record last updated?
The NPPES record for Zhijie Gao was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Zhijie Gao, MD · NPI 1942434774
Hematology & Oncology physician in Rockingham, Virginia. Individual provider, active in the CMS NPPES registry since May 7, 2009.
## Identity
- **NPI:** 1942434774 (Entity type: Individual)
- **Enumerated:** May 7, 2009
- **Primary specialty:** Internal Medicine - Hematology & Oncology · taxonomy 207RH0003X
- **State license:** 0101252964 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2008 HEALTH CAMPUS DR, Rockingham, VA 22801-8679
- **Phone:** (540) 689-7000 · **Fax:** (540) 689-7011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** May 27, 2020
- **Other identifiers:** Medicaid 1942434774 (VA); Medicaid 954120900 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1942434774) · Data from the CMS NPPES public registry.