MONICA TERESA PETERSON GORDON M.D.
NPI 1114117603
Psychiatry & Neurology - Psychiatry in San Jacinto, CA

Q: What is Monica Teresa Gordon's NPI number?

The NPI number for Monica Teresa Gordon is 1114117603. It was assigned to this individual provider in the NPPES registry on July 31, 2007.

Q: What is Monica Teresa Gordon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since July 31, 2007PECOS EnrolledAccepts Medicare Assignment

1370 S STATE ST STE B, SAN JACINTO, CA 92583(951) 791-3596(951) 791-3397 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Monica Teresa Peterson Gordon M.d. NPPES

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

MONICA TERESA PETERSON GORDON M.D. (NPI 1114117603) is an individual psychiatry provider in San Jacinto, California, licensed in California (A86089) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Perris, and is a graduate of Saint Louis University School Of Medicine (2002).

NPPES Registry Identity

NPI1114117603

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameMONICA TERESA PETERSON GORDONCredential: M.D.

Location Address1370 S STATE ST STE BSan Jacinto, CA 92583-4922

Mailing Address1370 S State St Ste BSan Jacinto, CA 92583-4922 · (951) 791-3596 · Fax (951) 791-3397

Phone(951) 791-3596

Fax(951) 791-3397

Sole ProprietorYes

Medical School CMSSaint Louis University School Of MedicineGraduated 2002

Enumeration DateJuly 31, 2007

Last NPPES UpdateApril 20, 2021

NPPES CertifiedSeptember 23, 2020

✔ NPI 1114117603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A86089

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1370 S STATE ST STE B, San Jacinto, CA 92583

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Secondary Practice Location 1

Location 1450 E San Jacinto Ave Bldg 1Perris, CA 92571-2833 · Phone (951) 443-2200 · Fax (951) 443-2230

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

Monica Teresa Peterson 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 ID6406946375

PECOS Enrollment IDI20071214000628

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 3

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.

44 services30 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

40 services30 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.

17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92583 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

$179.42 typical visit price

range $59.60 – $179.42

Typical copayment $44.85 (range $14.90 – $44.85)

Most-billed visit code 99205

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

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Other Providers at the Same Location NPPES 14

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

JILL FLORES

Peer Specialist