MITALIBEN RAJENDRAKUMAR GOR (NP) – Family Nurse Practitioner, NPI 1114564630
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,379 NURSE PRACTITIONER in OR
Provider Addresses for MITALIBEN RAJENDRAKUMAR GOR (NP)
705 EDWARDS AVE
COOS BAY, OR 974203408
Phone: (541) 404-1414
Type: Mailing
1900 WOODLAND DR
COOS BAY, OR 974202099
Phone: (541) 267-5151
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $250.
Total Amount is formed as General ($250) + Research ($0) + Ownership ($0) = $250.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Boston Scientific Corporation ($144).
Total Amount
$250
General + Research + Ownership
Payments
7
Total payment records
General Amount
$250
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $144 |
| ABBVIE INC. | $25 |
| Amgen Inc. | $22 |
| Xeris Pharmaceuticals, Inc. | $16 |
| Phathom Pharmaceuticals, Inc. | $15 |
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: 2020-01-17
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 |
|---|---|---|---|---|
| I20200117001671 | I | Nurse Practitioner | OR | 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 | 82 | 60 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 71 | 52 | $0 |
| 99497 | Advance care planning, first 30 minutes | 39 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 30 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 29 | 29 | $0 |
Insurance plans in this area (ZIP 97420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| Physician Assistant | KY | |
| Family Practice, Emergency Medicine | OR | |
| Physical Therapist In Private Practice | OR | |
| - | OR | |
| - | OR | |
| P O D I A T R Y | OR | |
| Clinical Social Worker | OR | |
| - | MI | |
| - | OR |
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