MR. CHARLES GORDON JR. PA-C
NPI 1114382025
Physician Assistant in Albany, NY
About Mr. Charles Gordon Jr. Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CHARLES GORDON JR. PA-C (NPI 1114382025) is an individual physician assistant in Albany, New York, licensed in New York (019257) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Charles Gordon Jr. Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Peter's Hospital
Acute Care Hospitals · Albany, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Charles Gordon's NPI number?
The NPI number for Charles Gordon is 1114382025. It was assigned to this individual provider in the NPPES registry on December 18, 2015.
Where is Charles Gordon located?
Charles Gordon practices at 315 S Manning Blvd, Albany, NY 12208. The listed phone number is (518) 252-1550.
What is Charles Gordon's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Charles Gordon enrolled in Medicare?
Yes. Charles 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.
Is Charles Gordon affiliated with any hospitals?
According to CMS data, Charles Gordon is affiliated with St Peter's Hospital.
When was this NPI record last updated?
The NPPES record for Charles Gordon was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Charles Gordon Jr., PA-C · NPI 1114382025
Physician Assistant physician in Albany, New York. Individual provider, active in the CMS NPPES registry since December 18, 2015.
## Identity
- **NPI:** 1114382025 (Entity type: Individual)
- **Enumerated:** December 18, 2015
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 019257 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 315 S MANNING BLVD, Albany, NY 12208-1707
- **Phone:** (518) 252-1550
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** May 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1114382025) · Data from the CMS NPPES public registry.