Ty L Gore, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F1596 Issued in TX

Practice address

214 SW 26TH Ave
Suite B
Mineral Wells, TX 76067-8249

Phone

(940) 325-9453

Fax

(940) 325-8401

NPI assigned

Nov 7, 2005

Last updated

Feb 17, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Texas Medical School at Houston, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Plano, TX, CCN 678210
• Palo Pinto General Hospital Hospital, Mineral Wells, TX, CCN 450565

Merit-based Incentive Payment System (MIPS)

Final score

81.68 of 100Reported as individual

Quality

98.25

Improvement activities

40

Cost

41.26

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Integracare Home Health Services Inc.

  dba CenterWell Home Health

  • Home Health Agency
  • Plano, TX
  • NPI 1043279417
  Care Compare affiliation
• Palo Pinto County Hospital District

  dba Palo Pinto General Hospital

  • General Acute Care Hospital
  • Mineral Wells, TX
  • NPI 1972590602
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1578544698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SW 26TH AVE",
            "address_2": "SUITE B",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678249",
            "telephone_number": "940-325-9453",
            "fax_number": "940-325-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SW 26TH AVE",
            "address_2": "SUITE B",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678249",
            "telephone_number": "940-325-9453",
            "fax_number": "940-325-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "TY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F1596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Four Seasons Dental PA
• Burres W Garrison III, D. O.
• Global Family Practice, PLLC
• Gold Star Ancillary Services LLC
• Gordon Isd
• Catharine Michelle Gossett, PTA
• Graford Isd
• Michael Joseph Gremminger, LPT
• Sherry L Guynup
• Jennifer Lynn Hagle

• Family Medicine Physician in Mineral Wells, TX
• Providers in Mineral Wells, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.