DR. PETER G GORDON D.D.S.
NPI 1114070349
Dentist - General Practice in Beachwood, OH

Active since January 19, 2007PECOS Enrolled
23300 CHAGRIN BLVD, G-10, BEACHWOOD, OH 44122(216) 464-1180(216) 464-3707 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter G Gordon D.d.s. NPPES

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

DR. PETER G GORDON D.D.S. (NPI 1114070349) is an individual general practice provider in Beachwood, Ohio, licensed in Ohio (12679) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114070349
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PETER G GORDONCredential: D.D.S.
Location Address23300 CHAGRIN BLVD, G-10Beachwood, OH 44122-5557
Mailing Address23300 Chagrin Blvd, G-10Beachwood, OH 44122-5557 · (216) 464-1180 · Fax (216) 464-3707
Fax(216) 464-3707
Sole ProprietorNo
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1114070349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OH · 12679
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
23300 CHAGRIN BLVD, Beachwood, OH 44122

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Peter G Gordon D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44122 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 3

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

Dentist (General Practice)
23300 CHAGRIN BLVD
BEACHWOOD, OH 44122
Social Worker
23300 CHAGRIN BLVD, SUITE 202
BEACHWOOD, OH 44122
Dentist (General Practice)
23300 CHAGRIN BLVD, G-10
BEACHWOOD, OH 44122

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 Peter Gordon's NPI number?

The NPI number for Peter Gordon is 1114070349. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Peter Gordon located?

Peter Gordon practices at 23300 Chagrin Blvd G-10, Beachwood, OH 44122. The listed phone number is (216) 464-1180.

What is Peter Gordon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Peter Gordon enrolled in Medicare?

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

What insurance does Peter Gordon accept?

Health plans from Blue Cross and Blue Shield of Alabama, Delta Dental of Ohio, DentaQuest Insurance Company Inc- OH, Humana and MedMutual list Peter 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.

When was this NPI record last updated?

The NPPES record for Peter Gordon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.