DR. MATTHEW WILLIAM GORMAN (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1770874117

DR. MATTHEW WILLIAM GORMAN (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 55294 (MN). The NPI Number for DR. MATTHEW WILLIAM GORMAN (M.D.) is 1770874117

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW WILLIAM GORMAN (M.D.)
NPI
1770874117
Phone
(612) 262-5000
Address
2925 CHICAGO AVE
Enumeration Date
20 April 2011
Last Update Date
14 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9529938700
Graduation Year
2011 (15 years ago)
PAC ID
0042449589
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20140204000815
Address ID
MN553375713BU14000DRXX300

Contacts

Secure Messaging
mgorman105388@excellian.direct.allina.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

3,076 FAMILY PRACTICE in MN

Provider Addresses for DR. MATTHEW WILLIAM GORMAN (M.D.)

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Type: Mailing

  • 8100 W 78TH ST

    STE. 230

    EDINA, MN 554392516

    Phone: (952) 946-9777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-02-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140204000815IFamily PracticeMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg30248$0
99214Established patient office or other outpatient visit, 30-39 minutes133100$0
20610Aspiration and/or injection of fluid from large joint7646$0
99213Established patient office or other outpatient visit, 20-29 minutes4738$0
99204New patient office or other outpatient visit, 45-59 minutes3333$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

How do I look up DR. MATTHEW WILLIAM GORMAN (M.D.) by NPI?
Use NPI 1770874117 when you need to reference DR. MATTHEW WILLIAM GORMAN (M.D.) in forms, claims, or directories.
Is DR. MATTHEW WILLIAM GORMAN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. MATTHEW WILLIAM GORMAN (M.D.)?
The page reflects Sports Medicine (Family Medicine) Physician for DR. MATTHEW WILLIAM GORMAN (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. MATTHEW WILLIAM GORMAN (M.D.)?
The snapshot lists Minneapolis, Minnesota for DR. MATTHEW WILLIAM GORMAN (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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