DR. ELY R GORDON DO, MPH
NPI 1215992029
Internal Medicine in Madill, OK

Active since April 18, 2006PECOS Enrolled
500 BROOKSIDE DRIVE, PO BOX 847, MADILL, OK 73446(580) 795-5506(580) 795-5145 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ely R Gordon Do, Mph NPPES

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

DR. ELY R GORDON DO, MPH (NPI 1215992029) is an individual internal medicine provider in Madill, Oklahoma, licensed in Missouri (2006023036) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Ardmore, Inc, and maintains a secondary practice location in Neosho.

NPPES Registry Identity

NPI1215992029
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ELY R GORDONCredential: DO, MPH
Location Address500 BROOKSIDE DRIVE, PO BOX 847Madill, OK 73446-0847
Mailing Address5012 S Us Hwy 75, Suite 300, Attn BillingDenison, TX 75020-4589 · (580) 795-5506 · Fax (580) 795-5145
Fax(580) 795-5145
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1994
Enumeration DateApril 18, 2006
Last NPPES UpdateMarch 17, 2018
NPI 1215992029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MO · 2006023036 Licensed in AL · DO 621
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License DO 621 (AL), 2006023036 (MO)
500 BROOKSIDE DRIVE, Madill, OK 73446

Secondary Practice Location 1

Location 1336 S. Jefferson St.Neosho, MO 64850 · Phone (417) 455-4200 · Fax (417) 455-4314

Other Identifiers 4

Other110187817Rr Medicare
Other0411221United Healthcare
Medicaid000008373AL
Other51008373Bcbs

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. Ely R Gordon Do, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517869282
PECOS Enrollment IDI20180123002003
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 16

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.
254 services105 patients
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.
234 services111 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
184 services103 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
93 services93 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
88 services46 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
75 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital Ardmore, Inc

Acute Care Hospitals · Ardmore, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370047
Location1011 14th Ave NWArdmore, OK 73401 · Carter County
Emergency services Birthing friendly

Alliancehealth Madill

Critical Access Hospitals · Madill, OK
OwnershipVoluntary non-profit - Other
CMS Certification Number371326
Location901 S 5th AveMadill, OK 73446 · Marshall County
Emergency services

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73446 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers27 claims58 services$6.59 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers17 claims18 services$1.13 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$109.60 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$35.26 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
2 suppliers15 claims900 services$6.36 avg. paid by Medicare
Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677
DME-Drugs Administered Through DME · category DG006N
1 supplier15 claims78,750 services$0.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ely Gordon's NPI number?

The NPI number for Ely Gordon is 1215992029. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Ely Gordon located?

Ely Gordon practices at 500 Brookside Drive PO Box 847, Madill, OK 73446. The listed phone number is (580) 795-5506.

What is Ely Gordon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ely Gordon enrolled in Medicare?

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

What insurance does Ely Gordon accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and UnitedHealthcare list Ely 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.

Is Ely Gordon affiliated with any hospitals?

According to CMS data, Ely Gordon is affiliated with Mercy Hospital Ardmore, Inc, Alliancehealth Madill and Texoma Medical Center.

When was this NPI record last updated?

The NPPES record for Ely Gordon was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.