ASHWINI PRABHAKAR GORE (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1457373565
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
238 ENDOCRINOLOGY in GA
Provider Addresses for ASHWINI PRABHAKAR GORE (M.D.)
265 SHERATON BLVD
MACON, GA 31210
Phone: (478) 746-8626
Fax: (478) 746-0491
Type: Location
96, Jonathan Lucas Street, Gadsden Green Homes, Charleston, Charleston County, South Carolina, 29425, United States
CSB 816
CHARLESTON, SC 294258900
Phone: (843) 792-4747
Fax: (843) 792-4114
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 236 Open Payments records for all available years, with a total value of $4,806.
Total Amount is formed as General ($4,806) + Research ($0) + Ownership ($0) = $4,806.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Novo Nordisk Inc ($741).
Total Amount
$4,806
General + Research + Ownership
Payments
236
Total payment records
General Amount
$4,806
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $741 |
| Lilly USA, LLC | $702 |
| Amgen Inc. | $320 |
| Medtronic, Inc. | $311 |
| Insulet Corporation | $166 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-09-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110912000127 | I | Endocrinology | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 546 | 374 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 379 | 284 | $0 |
| 84439 | Thyroxine (thyroid chemical), free | 324 | 240 | $0 |
| 84550 | Uric acid level, blood | 319 | 258 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 312 | 251 | $0 |
Insurance plans in this area (ZIP 31210)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ENDOCRINOLOGY | SC | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 21 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| Physician Assistant | GA | |
| Registered Dietitian Or Nutrition Professional | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| E N D O C R I N O L O G Y | GA |
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