NPIMap

Individual provider Active NPI

Ryan Gocke, MD

  • Orthopaedic Surgery Physician
  • North Chesterfield, VA
National Provider Identifier
1992916449
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101258549 Issued in VA
Practice address
1115 Boulders Pkwy Ste 100
North Chesterfield, VA 23225
Phone
(804) 320-1339
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 2010-01104 NC
Orthopaedic Surgery Physician 207X00000X 0101258549 VA Primary

Addresses

Primary practice location

1115 Boulders Pkwy Ste 100
North Chesterfield, VA 23225

Mailing address

1115 Boulders Pkwy Ste 200
North Chesterfield, VA 23225-4067
Phone (804) 560-5595

Other practice location 1

4218 Arendell St
Suite M
Morehead City, NC 28557-2866
Phone (252) 808-3100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgocke19149@direct.orthovirginia.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160329001100 VA Practitioner - Orthopedic Surgery 2163674532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians
Douglas Avery and Associates LTDGroup PAC ID 3971412818, shared by 5 NPIs, 48 clinicians
Professional Therapies of Roanoke, Inc.Group PAC ID 3375710619, shared by 5 NPIs, 272 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1115 Boulders Pkwy
Suite 100
North Chesterfield, VA 23225-4067
Phone (804) 320-1339

12725 Stone Village Way
Midlothian, VA 23113-2722
Phone (804) 245-8430

6800 Woodlake Commons Loop
Midlothian, VA 23112-2281
Phone (804) 302-4589

9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion313
Laminectomy or laminotomy (partial removal of spine bones)95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101258549VAMDOrthopaedic Surgery Physician
2010-01104NCMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia Inc Orthopaedic Surgery CurrentSince Jul 1, 2019 Accepting new patients
Orthovirginia, Inc CurrentSince Jul 1, 2019 Accepting new patients
Orthovirginia Inc Orthopaedic Surgery Current Accepting new patients
Orthovirginia, Inc. Orthopaedic Surgery Past Accepting new patients
Moore Orthopedics and Sports Medicine, P.a. Orthopaedic Surgery Past Accepting new patients
Carolina Pain Center, P.C PastSince Sep 1, 2013 Accepting new patients

Locations

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

1115 Boulders Pkwy
Ste 100
North Chesterfield, VA 23225
Phone (804) 320-1339

4710 Puddledock Rd
Ste 100
Prince George, VA 23875
Phone (804) 732-0035

Interoperability endpoints

  • Direct secure messaging: rgocke19149@direct.orthovirginia.com
  • FHIR API: https://api.platform.athenahealth.com/7220/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1992916449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 BOULDERS PKWY STE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232254067",
            "telephone_number": "804-560-5595",
            "fax_number": "804-560-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 BOULDERS PKWY STE 100",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "23225",
            "telephone_number": "804-320-1339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4218 Arendell St",
            "address_2": "Suite M",
            "address_purpose": "LOCATION",
            "city": "Morehead City",
            "state": "NC",
            "postal_code": "285572866",
            "country_code": "US",
            "telephone_number": "252-808-3100",
            "fax_number": "252-808-3120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOCKE",
        "first_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NC",
            "license": "2010-01104",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101258549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgocke19149@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "1115 Boulders Pkwy Ste 100",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.