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Denise Gorham

Nurse Practitioner - Primary Care • Berkeley Heights, NJ

Active NPI 1457048027 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1 Diamond Hill Rd
Berkeley Heights, NJ 079222104

Call 9082734300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1 Diamond Hill Rd

Berkeley Heights, NJ 079222104

Telephone 9082734300
Organization at the Same NPPES Address or Phone
Summit Medical Group Pa Facility NPI 1942254347

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Browne Medical Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2019

Medicare patients

121 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $14,790 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $11,267 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

92 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$541 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Denise Gorham has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Denise Gorham as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Berkeley Heights and New Jersey

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 65% of clinicians listed under Nurse Practitioner - Primary Care in New Jersey (2024, 192 clinicians with data). Median for this group: 367. Middle half: 118 to 875.

Too few clinicians listed under Nurse Practitioner - Primary Care in Berkeley Heights have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 65% of clinicians listed under Nurse Practitioner - Primary Care in New Jersey (2024, 192 clinicians with data). Median for this group: $34,533. Middle half: $9,836 to $74,908.

Too few clinicians listed under Nurse Practitioner - Primary Care in Berkeley Heights have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 65% of clinicians listed under Nurse Practitioner - Primary Care in New Jersey (2024, 192 clinicians with data). Median for this group: $25,072. Middle half: $7,244 to $59,080.

Too few clinicians listed under Nurse Practitioner - Primary Care in Berkeley Heights have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 80% of clinicians listed under Nurse Practitioner - Primary Care in New Jersey (2024, 219 clinicians with data). Median for this group: 555. Middle half: 123 to 1,525.

Too few clinicians listed under Nurse Practitioner - Primary Care in Berkeley Heights have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 85% of clinicians listed under Nurse Practitioner - Primary Care in New Jersey (2024, 219 clinicians with data). Median for this group: $34,503. Middle half: $3,657 to $154,299.

Too few clinicians listed under Nurse Practitioner - Primary Care in Berkeley Heights have Medicare Part D data for 2024 to compare.

3 active clinicians are listed under Nurse Practitioner - Primary Care with a practice address in Berkeley Heights, NJ (464 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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
76 71 $302.70 $116.36
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
21 21 $60.00 $40.55
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
19 18 $235.00 $82.22
87804 Detection test by immunoassay with direct visual observation for influenza virus
14 14 $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
14 14 $594.00 $150.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $402.00 $100.14

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Azithromycin Azithromycin 25 125 $108.18 25
Prednisone Prednisone 22 104 $45.59 22
Fluticasone Propionate Fluticasone Propionate 15 544 $153.42 12
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 14 108 $89.34 14
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 12 72 $144.58 12

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-22
Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

License # reported to NPPES NJ 26NJ01434500
Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES NJ 26NJ01434500
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20231017000558

Enrollment State Jurisdiction

NJ

PECOS Control ID

8325493943

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Browne Medical Llc

464 Eagle Rock Ave, West Orange, NJ 070523637

Phone: 9736695900

Browne Medical Llc

907 Oak Tree Ave, South Plainfield, NJ 070805131

Phone: 9082223500

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

34 listed
Dr. Pritish Bhattacharyya , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1144258872

Doctor of Medicine (M.D.)

Sarah Bryan , CRNA

Registered Nurse - Registered Nurse First Assistant

NPI 1164414876

Certified Registered Nurse Anesthetist

NPI 1164681524

Doctor of Medicine (M.D.)

Dr. Maria Chancay , MD

Internal Medicine - Rheumatology

NPI 1215355060

Doctor of Medicine (M.D.)

Alyssa Custer , PA-C

Physician Assistant - Surgical

NPI 1093329781

Physician Assistant (Certified)

Dr. John Dokko , DO

Internal Medicine - Nephrology

NPI 1003804550

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History

NPI enumerated April 24, 2023.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from May 2023 to November 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1457048027
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2023
Last Update: September 22, 2023
Sole Proprietor: No

Other Nurse Practitioner - Primary Care Specialists in Berkeley Heights

Healthcare providers in Berkeley Heights

Mailing Address

1 Diamond Hill Rd

Berkeley Heights, NJ 079222104

Phone: 9082734300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.