Active NPI 1346374378 Individual Practitioner Male Practitioner

Dr. Stuart J Gourlay , MD

Surgery • Pinole, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stuart Gourlay, MD is a certified Surgery practicing in Pinole, CA. With approximately 59 years of clinical experience since graduating from University Of California, San Francisco School Of Medicine in 1967, Dr. Gourlay delivers high-quality medical care to the local community at 1430 TARA HILLS DR.

Dr. Gourlay is affiliated with Robert Marriott Medical Corp and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, initial nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1430 Tara Hills Dr
Ste. D

Pinole, CA 945642580

Telephone 5107245714

Fax 5107245733

Associated Practice Facility / Clinic

🏢 Michael J.h. Mcdonald Dmd,inc Facility NPI 1013092584

Medicare Profile & Education

Medical School

University Of California, San Francisco School Of Medicine

Graduation Year

1967

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Pinole, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

59 Yrs Matches City Avg

City Avg: 59.0 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

3 Specialists

Practicing in Pinole, CA (3346 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gourlay (59 Years) 59 Yrs

Pinole Specialty Average (59.0 Years) 59.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	551	147	$170.00	$79.96
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	119	119	$282.00	$140.72
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	76	42	$190.00	$115.24
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	51	24	$170.00	$78.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	20	$130.00	$80.84
11042 Removal of skin and tissue, 20.0 sq cm or less	23	15	$200.00	$62.89
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	23	18	$300.00	$158.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$240.00	$132.82
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	13	$282.00	$141.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	549	128	$170.00	$79.76
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	330	96	$170.00	$80.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	158	88	$130.00	$82.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	109	58	$84.00	$51.38
99221 Initial hospital inpatient care per day, typically 30 minutes	79	79	$450.00	$85.92
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	65	35	$300.00	$152.54
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	63	12	$127.00	$55.44
11042 Removal of skin and tissue, 20.0 sq cm or less	54	27	$200.00	$52.00
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	52	52	$189.00	$86.58
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	49	49	$282.00	$140.24
G0406 Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth	41	11	$82.52	$41.14
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	34	22	$300.00	$248.64
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	32	25	$190.00	$114.84
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	29	29	$189.00	$86.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$240.00	$135.45
11042 Removal of skin and tissue, 20.0 sq cm or less	23	14	$200.00	$151.72
17250 Application of chemical to stop tissue regrowth in wound	19	14	$171.00	$89.67
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	19	16	$93.00	$43.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$220.00	$85.95
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	17	16	$93.00	$43.69
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	15	12	$190.00	$113.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	353	92	$170.00	$75.77
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	251	74	$170.00	$75.39
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	104	104	$189.00	$96.26
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	42	42	$189.00	$96.97
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	27	15	$300.00	$159.97
11042 Removal of skin and tissue, 20.0 sq cm or less	24	16	$200.00	$56.83
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	24	24	$93.00	$47.44
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	21	20	$93.00	$47.91
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	13	$84.00	$40.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	13	$130.00	$74.34
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$450.00	$103.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	211	31	$170.00	$77.00
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	141	37	$170.00	$77.00
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	31	31	$189.00	$98.45
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	27	15	$93.00	$48.93
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	21	21	$189.00	$99.80
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	15	13	$93.00	$48.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	134	14	$170.00	$78.53
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	44	11	$170.00	$78.13
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	13	13	$189.00	$102.68
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	12	12	$93.00	$50.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	65	16	$190.00	$99.23
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	50	17	$190.00	$98.47
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	22	22	$189.00	$95.98
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	18	18	$189.00	$95.46

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A022868

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

GR0058731 (CA)

Hospital & Practice Group Affiliations

Robert Marriott Medical Corp

2278 Nice Ave, Mentone, CA 923599655

Phone: 9097941189

Robert Marriott Medical Corp

501 Petaluma Ave, Sebastopol, CA 954724215

Phone: 7078238511

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Carolyn Yu , DDS

Dentist - General Practice

NPI 1104093897

Doctor of Dental Surgery

Dr. Michael Mcdonald , DMD

Dentist - Oral and Maxillofacial Surgery

NPI 1265517734

Doctor of Dental Medicine

Dr. Carolyn Lobo , MD

Surgery

NPI 1588711709

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1430 TARA HILLS DR, STE. D, PINOLE, CA 945642580 (Tel: 5107245714)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1430 TARA HILLS DR, STE. D, PINOLE, CA 945642580 (Tel: 5107245714)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as STUART GOURLAY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #A022868 in CA)

🟢

Initial NPI Registration & Enumeration March 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346374378

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 14, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1430 Tara Hills Dr, Ste. D

Pinole, CA 945642580

Phone: 5107245714

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.