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DR. JACOB L. GORDON MD
NPI 1114029550
Psychiatry & Neurology - Neurology in Owings Mills, MD

Active since September 05, 2006PECOS Enrolled
10 CROSSROADS DR STE 106, OWINGS MILLS, MD 21117(443) 524-0965(410) 826-3780 Get Directions Write a Review

NPPES record last updated: November 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 7, 2025, Mar 22, 2025, Mar 4, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Jacob L. Gordon Md NPPES

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

DR. JACOB L. GORDON MD (NPI 1114029550) is an individual neurology provider in Owings Mills, Maryland, licensed in Maryland (D0088330) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Owings Mills.

NPPES Registry Identity

NPI1114029550
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JACOB L. GORDONCredential: MD
Location Address10 CROSSROADS DR STE 106Owings Mills, MD 21117-5464
Mailing Address3120 Marnat RdPikesville, MD 21208-4503 · (443) 524-0965 · Fax (410) 826-3780
Phone(443) 524-0965
Fax(410) 826-3780
Sole ProprietorNo
Enumeration DateSeptember 5, 2006
Last NPPES UpdateNovember 2, 20254 updates tracked since enumeration
NPPES CertifiedNovember 2, 2025
✔ NPI 1114029550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MD · D0088330
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
10 CROSSROADS DR STE 106, Owings Mills, MD 21117
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Secondary Practice Location 1

Location 19199 Reisterstown Rd Ste 101BOwings Mills, MD 21117-4513 · Phone (443) 898-8160 · Fax (443) 898-8916

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob L. Gordon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jacob Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jacob L Gordon MD Ms LLC
Neurology
10 CROSSROADS DR STE 106
Owings Mills, MD 21117
  • Reassigned Medicare billing, Maryland enrollment
NPI 1831079037 (443) 524-0965

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21117 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Other Providers at the Same Location NPPES

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

JACOB L GORDON MD MS LLC
Psychiatry & Neurology (Neurology)
10 CROSSROADS DR STE 106
OWINGS MILLS, MD 21117
Baltimore County (443) 524-0965

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 Jacob Gordon's NPI number?

The NPI number for Jacob Gordon is 1114029550. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Jacob Gordon located?

Jacob Gordon practices at 10 Crossroads Dr Ste 106, Owings Mills, MD 21117. The listed phone number is (443) 524-0965.

What is Jacob Gordon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jacob Gordon enrolled in Medicare?

Yes. Jacob Gordon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Gordon reassigns Medicare benefits to Jacob L Gordon MD Ms LLC (Owings Mills, MD). The 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 Jacob Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Gordon was last updated on November 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.