Active NPI
Pankaj Gore, MD
- Neurological Surgery Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD28449
- Practice address
- 9155 SW Barnes Rd Ste 440
Portland, OR 97225-6631 - Phone
- (503) 935-8500
- Fax
- (503) 935-8505
- NPI assigned
- Nov 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD28449 | OR | Primary |
Addresses
Primary practice location
9155 SW Barnes Rd Ste 440
Portland, OR 97225-6631
Mailing address
541 NE 20TH Ave Ste 225
Portland, OR 97232-2895
Phone (503) 963-2801
Other practice location 1
5050 NE Hoyt St Ste 359
Portland, OR 97213-2983
Phone (503) 935-8501
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026301 | Medicaid | OR | |
| 1922288992 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | referringmns@1243.direct.myezyaccess.com | The Oregon Clinic PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Washington University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1111 NE 99TH Ave
Portland, OR 97220-9442
4805 NE Glisan
Portland, OR 97213-2933
5050 NE Hoyt
Suite 655
Portland, OR 97213-2990
Phone (503) 239-6673
9155 SW Barnes Rd
Suite 440
Portland, OR 97225-6631
Phone (503) 935-8500
Hospital & facility affiliations
- Providence Home Health
- Providence St Vincent Medical Center
- Providence Portland Medical Center
- Providence Newberg Medical Center
- Providence Willamette Falls Medical Center
- Providence Hood River Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.65 of 100
- Quality
- 86.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.36
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 38 |
| Laminectomy or laminotomy (partial removal of spine bones) | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Oregon Clinic, PC | Current | Accepting new patients | |
| The Oregon Clinic PC | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Past | Accepting new patients |
Locations
847 NE 19th Ave
Ste 300
Portland, OR 97232
9155 SW Barnes Rd
Ste 440
Portland, OR 97225
Phone (503) 297-3766
541 NE 20th Ave
Ste 225
Portland, OR 97232
Phone (503) 963-2801
5050 NE Hoyt St
Ste 655
Portland, OR 97213
Phone (503) 239-6673
5050 NE Hoyt St
Ste 359
Portland, OR 97213
Phone (503) 935-8501
Interoperability endpoints
- pgore113099@oc.providencedirect.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Portland, OR
- NPI 1265417174
-
- Durable Medical Equipment & Medical Supplies
- Portland, OR
- NPI 1346105129
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
-
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
-
- Critical Access Hospital
- Hood River, OR
- NPI 1255429338
-
- Home Health Agency
- Portland, OR
- NPI 1790873461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1922288992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 NE 20TH AVE STE 225",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322895",
"telephone_number": "503-963-2801",
"fax_number": "503-963-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9155 SW BARNES RD STE 440",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256631",
"telephone_number": "503-935-8500",
"fax_number": "503-935-8505"
}
],
"practiceLocations": [
{
"address_1": "5050 NE Hoyt St Ste 359",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972132983",
"country_code": "US",
"telephone_number": "503-935-8501",
"fax_number": "503-935-8506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORE",
"first_name": "PANKAJ",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-07",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OR",
"license": "MD28449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026301",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922288992",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "referringmns@1243.direct.myezyaccess.com",
"affiliation": "Y",
"affiliationName": "The Oregon Clinic PC",
"address_1": "9155 SW Barnes Rd Ste 440",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972256631",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.