ALFRED Y GORDON MD
NPI 1063440899
Family Medicine in Fayetteville, AR

Q: What is Alfred Gordon's NPI number?

The NPI number for Alfred Gordon is 1063440899. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Q: What is Alfred Gordon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Alfred Gordon was last updated on May 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment

688 E MILLSAP RD STE 101, FAYETTEVILLE, AR 72703(479) 443-3536(479) 443-3933 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 9, 2025, Dec 16, 2021, Jun 19, 2018 (3 updates tracked since 2018).

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About Alfred Y Gordon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALFRED Y GORDON MD (NPI 1063440899) is an individual family medicine provider in Fayetteville, Arkansas, licensed in Arkansas (E-0004) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1991).

NPPES Registry Identity

NPI1063440899

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameALFRED Y GORDONCredential: MD

Location Address688 E MILLSAP RD STE 101Fayetteville, AR 72703-3930

Mailing AddressPo Box 1523Fayetteville, AR 72702-1523 · (479) 571-6038 · Fax (479) 582-0222

Phone(479) 443-3536

Fax(479) 443-3933

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1991

Enumeration DateJune 29, 2006

Last NPPES UpdateMay 9, 20253 updates tracked since enumeration

NPPES CertifiedMay 9, 2025

✔ NPI 1063440899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AR · E-0004

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

688 E MILLSAP RD STE 101, Fayetteville, AR 72703

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Other Identifiers 3

Other5J347AR · Ar Bc/bs

Medicaid124897001AR

OtherP00304738AR · Rr Mcr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alfred Y Gordon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618936121

PECOS Enrollment IDI20051102000330

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

284 services170 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

120 services120 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

113 services89 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

94 services94 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

33 services25 patients

Stool analysis for blood to screen for colon tumors 82270

A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.

33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers11 claims32 services$5.02 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$45.89 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

5 suppliers14 claims14 services$22.31 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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