Deactivated NPI 1366446049 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Sydnor Gorby , MD

Internal Medicine • Tyler, TX

✓ Accepts Medicare Assignment Telehealth Available

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Gorby has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 09, 2005

NPI Deactivation Date March 15, 2006

Total Practice Duration ~24 Years of Practice (1982 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Gorby, MD was a registered Internal Medicine in Tyler, TX. Prior to record deactivation on 2006-03-15, Dr. Gorby completed approximately 24 years of clinical practice following graduation from University Of Texas Southwestern Medical School At Dallas in 1982.

Dr. Gorby was affiliated with Sycamore Medical Clinic and accepted Medicare assignment . Telehealth and virtual consultation options were offered for eligible patients.

Historical Medicare Part B clinical services included chronic care management services, first, established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

800 E Dawson St

Tyler, TX 757012036

Telephone 9036064129

Associated Practice Facility / Clinic

🏢 Mother Frances Hospital Regional Health Care Center Facility NPI 1679578439

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Tyler, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +22.9 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

148 Specialists

Practicing in Tyler, TX (9538 Statewide)

Telehealth Adoption Rate

9.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

42.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gorby (44 Years) 44 Yrs

Tyler Specialty Average (21.1 Years) 21.1 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
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,323	254	$82.00	$61.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	985	312	$213.00	$125.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	377	58	$8.00	$0.98
99213 Established patient office or other outpatient visit, typically 15 minutes	311	169	$145.00	$88.81
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	229	107	$50.00	$46.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	183	183	$228.60	$128.58
G0444 Annual depression screening, 5 to 15 minutes	170	170	$36.00	$18.57
90662 Influenza vaccine split virus, preservative free	148	142	$93.92	$81.29
G0008 Administration of influenza virus vaccine	120	120	$45.00	$31.03
93000 Routine ekg using at least 12 leads including interpretation and report	103	91	$33.00	$13.95
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	95	68	$120.00	$67.34
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	84	70	$25.00	$16.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	72	56	$286.00	$177.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	62	50	$45.00	$13.98
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	54	21	$136.00	$72.75
71046 X-ray of chest, 2 views	50	49	$61.00	$31.89
77080 Dxa bone density measurement of hip, pelvis, spine	35	35	$100.00	$37.80
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	30	18	$181.00	$105.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	14	$144.00	$77.17
99496 Transitional care management services for problem of high complexity	20	18	$453.00	$274.54
20610 Aspiration and/or injection of fluid from large joint	14	12	$118.00	$63.64
76775 Limited ultrasound scan behind abdominal cavity	12	12	$170.00	$58.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	930	326	$212.86	$124.04
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	868	250	$82.00	$60.76
99213 Established patient office or other outpatient visit, typically 15 minutes	394	202	$145.00	$87.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	382	61	$8.00	$1.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	186	186	$228.00	$126.47
90662 Influenza vaccine split virus, preservative free	154	153	$75.00	$71.78
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	131	87	$50.00	$46.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	116	83	$286.00	$174.75
93000 Routine ekg using at least 12 leads including interpretation and report	111	95	$33.00	$14.01
G0444 Annual depression screening, 5 to 15 minutes	102	102	$36.00	$18.00
71046 X-ray of chest, 2 views	74	70	$61.00	$31.54
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	60	50	$120.00	$51.17
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	46	17	$181.00	$104.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	35	$45.00	$13.77
G0008 Administration of influenza virus vaccine	43	43	$40.00	$29.51
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	38	17	$81.00	$40.19
77080 Dxa bone density measurement of hip, pelvis, spine	28	28	$100.00	$37.01
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	22	16	$136.00	$72.52
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	21	21	$600.00	$191.06
99495 Transitional care management services for problem of at least moderate complexity	20	18	$321.00	$199.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$322.00	$162.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	11	$206.00	$116.50
81002 Urinalysis, manual test	17	13	$20.00	$3.41
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	17	$104.00	$50.89
99496 Transitional care management services for problem of high complexity	15	15	$453.00	$269.74
76775 Limited ultrasound scan behind abdominal cavity	13	13	$170.00	$57.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,238	314	$82.00	$61.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	689	310	$211.49	$123.67
99213 Established patient office or other outpatient visit, typically 15 minutes	445	222	$144.21	$87.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	334	51	$7.91	$1.15
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	214	112	$49.97	$45.97
90662 Influenza vaccine split virus, preservative free	191	188	$75.00	$68.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	177	177	$228.00	$126.65
93000 Routine ekg using at least 12 leads including interpretation and report	119	114	$32.83	$13.74
71046 X-ray of chest, 2 views	93	92	$60.60	$32.82
G0444 Annual depression screening, 5 to 15 minutes	73	73	$36.00	$17.77
G0008 Administration of influenza virus vaccine	66	66	$40.00	$28.42
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	61	57	$120.00	$30.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	46	39	$44.40	$13.93
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	45	21	$81.00	$39.56
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	40	37	$80.00	$42.15
77080 Dxa bone density measurement of hip, pelvis, spine	39	39	$100.00	$35.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	31	$286.00	$175.20
0064A Adm sarscov2 50mcg/0.25mlbst	31	31	$60.00	$38.09
0134A Fee covid-19 vac 14 res	28	28	$57.86	$37.60
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	25	$104.00	$51.30
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	25	24	$462.87	$194.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$322.00	$162.24
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	20	19	$179.00	$130.05
76775 Limited ultrasound scan behind abdominal cavity	19	19	$140.53	$56.95
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	18	11	$136.00	$65.74
81002 Urinalysis, manual test	14	11	$20.00	$3.42
20610 Aspiration and/or injection of fluid from large joint	12	11	$118.00	$62.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,167	309	$82.01	$40.08
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	136	110	$50.00	$36.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	102	$213.00	$126.84
0011A Adm sarscov2 100mcg/0.5ml1st	96	96	$41.88	$25.00
0012A Adm sarscov2 100mcg/0.5ml2nd	65	64	$60.00	$38.69
0013A Adm sarscov2 100mcg/0.5ml3rd	58	58	$60.00	$38.69
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	58	48	$179.00	$88.17
0031A Adm sarscov2 vac ad26 .5ml	58	58	$60.00	$29.15
G0008 Administration of influenza virus vaccine	56	56	$40.00	$16.47
90662 Influenza vaccine split virus, preservative free	52	52	$75.00	$65.26
99291 Critical care, first 30-74 minutes	51	18	$545.00	$215.02
99213 Established patient office or other outpatient visit, typically 15 minutes	48	42	$145.00	$88.64
36415 Insertion of needle into vein for collection of blood sample	42	40	$19.79	$3.00
0064A Adm sarscov2 50mcg/0.25mlbst	41	41	$60.00	$38.69
93000 Routine ekg using at least 12 leads including interpretation and report	34	34	$33.00	$14.13
71046 X-ray of chest, 2 views	29	29	$61.00	$32.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	12	$45.00	$13.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$322.00	$164.99
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	20	17	$80.00	$42.97
G0444 Annual depression screening, 5 to 15 minutes	14	14	$36.00	$18.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$228.00	$130.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,147	309	$82.00	$40.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	951	348	$213.00	$104.37
36415 Insertion of needle into vein for collection of blood sample	628	318	$20.00	$2.97
99213 Established patient office or other outpatient visit, typically 15 minutes	350	183	$145.00	$71.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	244	40	$9.19	$1.46
G0008 Administration of influenza virus vaccine	170	169	$39.91	$16.05
90662 Influenza vaccine split virus, preservative free	160	160	$74.94	$60.52
93000 Routine ekg using at least 12 leads including interpretation and report	139	128	$33.00	$16.22
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	124	90	$43.00	$36.47
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	105	68	$179.00	$89.68
71046 X-ray of chest, 2 views	102	100	$61.00	$31.13
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	64	48	$80.00	$45.23
96127 Assessment of emotional or behavioral problems	57	19	$11.00	$4.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	31	$45.00	$13.82
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	39	23	$81.00	$40.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$228.00	$108.84
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	38	20	$90.00	$43.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	33	$88.00	$40.46
99495 Transitional care management services for problem of at least moderate complexity	37	32	$321.00	$179.54
77080 Dxa bone density measurement of hip, pelvis, spine	34	34	$87.65	$37.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	27	$286.00	$140.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	16	$321.89	$71.74
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	27	$104.00	$52.51
81002 Urinalysis, manual test	26	22	$20.00	$3.46
80305 Testing for presence of drug, read by direct observation	25	22	$50.00	$12.56
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	22	11	$136.00	$68.64
G0009 Administration of pneumococcal vaccine	22	21	$40.00	$15.44
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	20	17	$100.00	$51.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	11	$268.95	$99.82
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	15	15	$401.00	$199.19
90670 Pneumococcal vaccine for injection into muscle	12	12	$260.00	$207.66
94010 Test to measure expiratory airflow and volume	12	12	$69.00	$34.65
20610 Aspiration and/or injection of fluid from large joint	12	12	$118.00	$64.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	905	309	$82.00	$40.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	866	343	$212.92	$104.95
99213 Established patient office or other outpatient visit, typically 15 minutes	407	211	$144.87	$71.86
36415 Insertion of needle into vein for collection of blood sample	198	181	$20.00	$2.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	194	33	$7.94	$1.59
G0008 Administration of influenza virus vaccine	164	162	$40.00	$15.90
90662 Influenza vaccine split virus, preservative free	145	144	$70.21	$54.82
93000 Routine ekg using at least 12 leads including interpretation and report	139	110	$33.12	$16.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	87	57	$346.74	$71.40
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	86	59	$179.00	$88.68
71046 X-ray of chest, 2 views	84	77	$60.87	$30.36
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	74	31	$81.00	$39.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	64	49	$356.66	$100.91
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	60	28	$213.00	$105.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	24	$43.85	$15.84
99495 Transitional care management services for problem of at least moderate complexity	43	37	$320.51	$156.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	36	$87.79	$43.61
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	36	19	$90.00	$44.36
81002 Urinalysis, manual test	35	27	$20.00	$3.22
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	31	29	$104.00	$51.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	28	$286.00	$141.81
80305 Testing for presence of drug, read by direct observation	22	21	$50.00	$12.35
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	21	21	$401.00	$194.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$228.00	$112.97
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	21	11	$180.81	$89.72
77080 Dxa bone density measurement of hip, pelvis, spine	20	20	$78.35	$38.29
76775 Limited ultrasound scan behind abdominal cavity	17	17	$114.00	$56.61
99238 Hospital discharge day management, 30 minutes or less	16	16	$209.38	$71.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$212.00	$105.30
90682 Influenza vaccine, quadrivalent derived from recombinant dna	14	14	$60.00	$54.70
20610 Aspiration and/or injection of fluid from large joint	13	13	$121.23	$60.95
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	12	12	$123.00	$60.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	865	315	$207.00	$103.34
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	444	234	$81.82	$40.55
99213 Established patient office or other outpatient visit, typically 15 minutes	406	215	$139.00	$69.64
93000 Routine ekg using at least 12 leads including interpretation and report	266	234	$50.00	$16.05
71046 X-ray of chest, 2 views	263	238	$50.00	$28.64
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	216	29	$8.00	$1.80
G0008 Administration of influenza virus vaccine	171	168	$40.00	$19.17
90662 Influenza vaccine split virus, preservative free	154	151	$74.61	$51.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	99	60	$333.76	$101.02
36415 Insertion of needle into vein for collection of blood sample	98	92	$20.00	$2.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	73	49	$222.34	$70.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	71	39	$47.96	$19.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	50	$83.02	$41.87
99495 Transitional care management services for problem of at least moderate complexity	57	41	$316.00	$158.20
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	52	39	$97.92	$88.30
77080 Dxa bone density measurement of hip, pelvis, spine	50	50	$118.00	$39.72
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	40	18	$79.00	$40.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$224.11	$112.32
81002 Urinalysis, manual test	36	28	$20.00	$3.41
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	35	28	$133.00	$67.37
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	34	32	$103.00	$51.78
99238 Hospital discharge day management, 30 minutes or less	32	31	$215.69	$70.86
94010 Test to measure expiratory airflow and volume	32	31	$68.00	$33.15
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	31	11	$11.00	$1.97
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	26	21	$177.00	$89.07
80305 Testing for presence of drug, read by direct observation	24	22	$50.00	$13.19
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	22	22	$428.00	$186.58
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	11	$30.00	$16.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$318.00	$159.02
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	16	16	$75.00	$61.15
93922 Ultrasound study of arm and leg arteries	14	14	$168.00	$83.89
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	13	$175.00	$127.01
76775 Limited ultrasound scan behind abdominal cavity	13	13	$130.00	$50.25
96127 Assessment of emotional or behavioral problems	13	13	$10.00	$5.94
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$332.00	$165.67
20610 Aspiration and/or injection of fluid from large joint	12	11	$150.00	$58.36
G0009 Administration of pneumococcal vaccine	12	12	$40.00	$19.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$280.00	$140.11
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$30.00	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	967	331	$207.00	$101.40
99213 Established patient office or other outpatient visit, typically 15 minutes	406	225	$139.00	$68.41
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	395	213	$82.00	$40.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	374	53	$8.00	$1.78
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	214	209	$426.23	$62.44
93000 Routine ekg using at least 12 leads including interpretation and report	214	176	$44.87	$15.83
G0008 Administration of influenza virus vaccine	206	204	$40.00	$23.56
90662 Influenza vaccine split virus, preservative free	202	200	$50.59	$47.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	95	55	$48.00	$23.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	88	60	$370.36	$100.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	54	$83.00	$41.53
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	57	26	$79.00	$39.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	41	$264.27	$69.48
85610 Blood test, clotting time	48	13	$30.00	$5.28
99291 Critical care, first 30-74 minutes	48	23	$534.00	$216.97
99495 Transitional care management services for problem of at least moderate complexity	46	40	$316.00	$153.51
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	38	27	$139.39	$66.55
77080 Dxa bone density measurement of hip, pelvis, spine	33	33	$100.00	$38.32
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	31	$103.00	$50.14
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	31	16	$38.00	$18.75
76775 Limited ultrasound scan behind abdominal cavity	29	28	$120.34	$53.82
94010 Test to measure expiratory airflow and volume	28	25	$68.00	$33.51
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	27	26	$180.67	$125.84
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	27	20	$181.19	$85.59
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	24	24	$428.00	$214.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	20	$280.00	$136.91
81002 Urinalysis, manual test	18	17	$20.00	$3.43
93922 Ultrasound study of arm and leg arteries	17	17	$168.00	$78.45
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	17	17	$65.00	$60.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$318.00	$149.35
76706 Ultrasound scan of abdominal aorta	16	16	$120.00	$88.12
20552 Injections of trigger points in 1 or 2 muscles	15	11	$106.00	$52.93
80305 Testing for presence of drug, read by direct observation	15	12	$50.00	$11.21
G0009 Administration of pneumococcal vaccine	14	14	$40.00	$23.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$224.00	$110.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$603.54	$195.96
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	12	12	$511.00	$255.41
99496 Transitional care management services for problem of high complexity	12	11	$444.00	$204.39
20610 Aspiration and/or injection of fluid from large joint	12	12	$135.83	$57.90

Medical Specialties & State Licenses

CMS Verified: 2021-01-04

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX G3402

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Critical Care Medicine

NUCC Taxonomy Code: 207RC0200X

State License TX G3402

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Rail Road

P01290930 (TX)

Hospital & Practice Group Affiliations

Sycamore Medical Clinic

1021 S Sycamore St, Palestine, TX 758015041

Phone: 9037298328

Secondary Practice Locations

1021 S Sycamore St

Palestine, TX 758015041

Phone: 9037298328

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Sailaja Sakam , MD

Internal Medicine

NPI 1023399144

Doctor of Medicine (M.D.)

Dr. Vittal Chundru , MD

Internal Medicine

NPI 1073784484

Doctor of Medicine (M.D.)

David Burkland , NP

Nurse Practitioner - Family

NPI 1174000962

Nurse Practitioner

Robert Lewis , MSN, RN, FNP-BC, LP

Nurse Practitioner

NPI 1407285513

Master of Science in Nursing, Registered Nurse, Family Nurse Practitioner (Board Certified), Licensed Psychologist

Dr. Moinuddin Shaikh , MD

Hospitalist

NPI 1437404480

Doctor of Medicine (M.D.)

Dr. Ranadhir Beereddy , MD

Hospitalist

NPI 1508164096

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 04, 2021

Registered at 800 E DAWSON ST, TYLER, TX 757012036 (Tel: 9036064129)

📍

Updated Practice Location June 14, 2010

Registered at 1021 S SYCAMORE ST, PALESTINE, TX 758015041 (Tel: 9037298328)

📍

Updated Business Mailing Address June 14, 2010

Registered at 1021 S SYCAMORE ST, PALESTINE, TX 758015041 (Tel: 9037298328)

👤

Provider Name / Credentials Updated June 14, 2010

Recorded as MICHAEL GORBY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2010

Internal Medicine (License #G3402 in TX)

🔄

NPI Profile Reactivated March 21, 2006

Record officially reactivated for active practice on March 21, 2006

⚠️

NPI Profile Deactivated March 15, 2006

Record deactivated on March 15, 2006

🟢

Initial NPI Registration & Enumeration June 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1366446049

Entity Type:

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

Enumeration Date: June 09, 2005

Last Update: January 04, 2021

Deactivation Date: March 15, 2006

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1021 S Sycamore St

Palestine, TX 758015041

Phone: 9037298328

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.