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DR. RYAN WESLEY GORDON M.D.
NPI 1104125707
Anesthesiology in Kingsport, TN

Active since March 22, 2011PECOS EnrolledAccepts Medicare Assignment
135 W RAVINE RD STE 5-B, KINGSPORT, TN 37660(423) 224-3460(423) 224-3465 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ryan Wesley Gordon M.d. NPPES

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

DR. RYAN WESLEY GORDON M.D. (NPI 1104125707) is an individual anesthesiology provider in Kingsport, Tennessee, licensed in Georgia (102141) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Novant Health Uva Health System Culpeper Med Cente, and is a graduate of Mercer University School Of Medicine (2011).

NPPES Registry Identity

NPI1104125707
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. RYAN WESLEY GORDONCredential: M.D.
Location Address135 W RAVINE RD STE 5-BKingsport, TN 37660-3847
Mailing AddressPo Box 535744Atlanta, GA 30353-5510 · (844) 294-5114 · Fax (865) 691-0843
Phone(423) 224-3460
Fax(423) 224-3465
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2011
Enumeration DateMarch 22, 2011
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1104125707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in GA · 102141✔ Licensed in TN · 50912
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
135 W RAVINE RD STE 5-B, Kingsport, TN 37660
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Other Identifiers 2

Medicaid1104125707VA
MedicaidQ014177TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ryan Wesley Gordon M.d. 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 ID3072755321
PECOS Enrollment IDI20250110002778
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Ryan Gordon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Virginia Highlands Anesthesia, PC
34 mi
Anesthesiology
351 COURT ST
Abingdon, VA 24210
  • Reassigned Medicare billing, Virginia enrollment
  • 36 clinicians in this Medicare group
NPI 1508830993 (276) 282-8227
American Anesthesiology Of Tennessee, P.C.
87 mi
Nurse Anesthetist, Certified Registered
501 20TH ST, SUITE 606
Knoxville, TN 37916
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: American Anesthesiology Of Tennessee PC
  • 959 clinicians in this Medicare group
NPI 1245279777 (865) 546-8040
Nmg Affiliate Practice I LLC
91 mi
Cardiovascular Disease
812 WEST STUART DRIVE
Galax, VA 24333
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Uva Community Health Medical Group LLC
  • 584 clinicians in this Medicare group
NPI 1639474240 (276) 238-3318
American Anesthesiology Associates Of Georgia, LLC
208 mi
Anesthesiology
2171 WEST PARK COURT, SUITE A
Stone Mountain, GA 30087
  • Reassigned Medicare billing, Georgia enrollment
  • 650 clinicians in this Medicare group
NPI 1528068673 (678) 514-1991

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Uva Health System Culpeper Med Cente

Acute Care Hospitals · Culpeper, VA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490019
Location501 Sunset LaneCulpeper, VA 22701 · Culpeper County
Emergency services Birthing friendly

Smyth County Community Hospital

Acute Care Hospitals · Marion, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number490038
Location245 Medical Park DriveMarion, VA 24354 · Smyth County
Emergency services

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490053
Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County
Emergency services Birthing friendly

Lonesome Pine Hospital

Acute Care Hospitals · Big Stone Gap, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490114
Location1990 Holton Avenue EastBig Stone Gap, VA 24219 · Wise County
Emergency services

Other Providers at the Same Location NPPES 2

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

DEREK TAYLOR WRIGHT
Nurse Anesthetist, Certified Registered
135 W RAVINE RD STE 5-B
KINGSPORT, TN 37660
Sullivan County (423) 224-3465
MRS. ANN-MARIE TORRENCE CRNA
Nurse Anesthetist, Certified Registered
135 W RAVINE RD STE 5-B, HOLSTON ANESTHESIA ASSOCIATES, PC
KINGSPORT, TN 37660
Sullivan County (423) 224-3460

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Gordon's NPI number?

The NPI number for Ryan Gordon is 1104125707. It was assigned to this individual provider in the NPPES registry on March 22, 2011.

Where is Ryan Gordon located?

Ryan Gordon practices at 135 W Ravine Rd Ste 5-B, Kingsport, TN 37660. The listed phone number is (423) 224-3460.

What is Ryan Gordon's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Ryan Gordon enrolled in Medicare?

Yes. Ryan Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ryan Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Gordon reassigns Medicare benefits to 4 organizations: Virginia Highlands Anesthesia, PC (Abingdon, VA), American Anesthesiology Of Tennessee, P.C. (Knoxville, TN), Nmg Affiliate Practice I LLC (Galax, VA) and American Anesthesiology Associates Of Georgia, LLC (Stone Mountain, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Gordon accept?

Health plans from Oscar Health list Ryan Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ryan Gordon affiliated with any hospitals?

According to CMS data, Ryan Gordon is affiliated with Novant Health Uva Health System Culpeper Med Cente, Smyth County Community Hospital, Johnston Memorial Hospital and Lonesome Pine Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Gordon was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.