SCOTT WILLIAM GORDON DPM
NPI 1164745824
Podiatrist - Foot & Ankle Surgery in Pratt, KS

Active since March 10, 2010PECOS EnrolledAccepts Medicare Assignment
88.73/100
CMS Quality Rating
203 WATSON ST STE 300, PRATT, KS 67124(620) 672-1002(620) 450-1741 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Scott William Gordon Dpm NPPES

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

SCOTT WILLIAM GORDON DPM (NPI 1164745824) is an individual foot & ankle surgery provider in Pratt, Kansas, licensed in Kansas (1200396) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Pratt Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1164745824
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameSCOTT WILLIAM GORDONCredential: DPM
Location Address203 WATSON ST STE 300Pratt, KS 67124-3092
Mailing Address203 Watson St Ste 300Pratt, KS 67124-3092 · (620) 672-1002 · Fax (620) 450-1741
Fax(620) 450-1741
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 10, 2010
Last NPPES UpdateMarch 26, 2021
NPPES CertifiedMarch 26, 2021
NPI 1164745824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses Licensed in KS · 1200396 Licensed in AZ · 0738 Licensed in NM · 345
203 WATSON ST STE 300, Pratt, KS 67124

Secondary Practice Locations 3

Location 12301 Indian Wells Rd Ste AAlamogordo, NM 88310-4611 · Phone (575) 434-0639
Location 21206 W Frontview St Ste 203Dodge City, KS 67801-2095 · Phone (620) 225-7744 · Fax (620) 225-5522
Location 3200 Commodore StPratt, KS 67124-2903 · Phone (620) 450-1186

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 and accepts Medicare assignment

Scott William Gordon Dpm 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 ID3375790223
PECOS Enrollment IDI20130805000691
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 15

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 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.
1,273 services553 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
957 services165 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
405 services267 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
390 services78 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
236 services236 patients
Aspiration and/or injection of fluid from medium joint 20605
This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.
157 services110 patients

Hospital Affiliations CMS Care Compare 5

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

Pratt Regional Medical Center

Acute Care Hospitals · Pratt, KS
5/5 CMS rating
OwnershipProprietary
CMS Certification Number170027
Location200 Commodore StPratt, KS 67124 · Pratt County
Emergency services Birthing friendly

Southwest Medical Center

Acute Care Hospitals · Liberal, KS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170068
Location315 West 15th StreetLiberal, KS 67901 · Seward County
Emergency services Birthing friendly

Meade District Hospital

Critical Access Hospitals · Meade, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171321
Location510 East CarthageMeade, KS 67864 · Meade County
Emergency services

Medicine Lodge Memorial Hospital

Critical Access Hospitals · Medicine Lodge, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171334
Location710 N Walnut StreetMedicine Lodge, KS 67104 · Barber County
Emergency services

Hospital District #6 Patterson Health Center

Critical Access Hospitals · Anthony, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171346
Location485 N. Ks Hwy 2Anthony, KS 67003 · Harper County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.71
Promoting Interoperability100
Improvement Activities40
Cost80.74

Reported Quality Measures

Advance Care Plan
66%737 patients3/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
32%231 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
24%936 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
64%161 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
5%226 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
77%226 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%3,208 patients4/55-star benchmark: 100%
e-Prescribing
99%297 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
81%1,484 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
16%2,014 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 78% · 1,005 patients
Patients screened: 82% · 1,005 patients
74%144 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%619 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
75%322 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 743 patients
Patients totalRate: 3% · 754 patients
3%754 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
1 supplier13 claims13 services$996.38 avg. paid by Medicare
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
1 supplier28 claims28 services$28.10 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L4360
DME-Orthotic Devices · category DF003N
1 supplier26 claims26 services$65.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Specialist
203 WATSON ST STE 300
PRATT, KS 67124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164745824, enumerated as an "individual" on March 10, 2010.

The provider is located at 203 WATSON ST STE 300 PRATT, KS 67124 and the phone number is (620) 672-1002.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Scott Gordon is affiliated with: PRATT REGIONAL MEDICAL CENTER, SOUTHWEST MEDICAL CENTER, MEADE DISTRICT HOSPITAL, MEDICINE LODGE MEMORIAL HOSPITAL and HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER.