Charles C Gornick, MD
Individual provider Active NPI Clinical Cardiac Electrophysiology Physician · Minneapolis, MN
NPI 1376597237 · NPPES record last updated Jul 6, 2026
Key facts
- NPI
- 1376597237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Cardiac Electrophysiology Physician 207RC0001X
- License
- 24294 (MN)
- Practice address
- 800 E 28TH St Ste H2100
Minneapolis, MN 55407-3723 - Phone
- (612) 863-9000
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 31
Medicare Care Compare profile
- Specialty
- Cardiac Electrophysiology
- Education
- University of Minnesota Medical School, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Allina Health System
Practice addresses (Care Compare)
100 State Ave
Faribault, MN 55021-6337
Phone (507) 334-3921
Hospital & facility affiliations
- Abbott Northwestern Hospital
- Welia Health
- Glencoe Regional Health
- United Hospital District
- New Ulm Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090721000357 | MN | Practitioner - Cardiac Electrophysiology |
3274613807 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24294 | MN | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
100 State Ave
Faribault, MN 55021
Phone (507) 334-3921
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
800 E 28th St
Ste H2100
Minneapolis, MN 55407
Phone (612) 863-3900
920 E 28th St
Ste 300
Minneapolis, MN 55407
Phone (612) 863-3900
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
920 E 28th St
Ste 610
Minneapolis, MN 55407
Phone (612) 863-6900
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
920 E 28th St
Ste 560
Minneapolis, MN 55407
Phone (612) 863-3770
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24294 | MN | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 24294 | MN | Yes |
| Cardiovascular Disease Physician | 207RC0000X | 24294 | MN |
Addresses
Primary practice location
800 E 28TH St Ste H2100
Minneapolis, MN 55407-3723
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cgornick86606@excellian.direct.allina.com | Direct |
Other providers in Minneapolis, MN
- Sophia Gorham
- Sarah J Goring I
- Michele Ann Gorman
- Ellen Therese Gormican
- Caroline Gormley
- Ayala Gorodzinsky
- Sarah M Gorr
- Egal Ismail Gorse
- Bridget Gorski
- Sally L Gorski
All providers in Minneapolis, MN · Clinical Cardiac Electrophysiology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.