Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. PETER M GORDON MD
NPI 1225031479
Urology in Omaha, NE

Q: What is Peter Gordon's NPI number?

The NPI number for Peter Gordon is 1225031479. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Q: What is Peter Gordon's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Gordon was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.

Active since May 23, 2005PECOS Enrolled

111 S 90TH ST, OMAHA, NE 68114(402) 397-9800(402) 397-7591 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Peter M Gordon Md NPPES

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

DR. PETER M GORDON MD (NPI 1225031479) is an individual urology provider in Omaha, Nebraska, licensed in Nebraska (15530) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225031479

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. PETER M GORDONCredential: MD

Location Address111 S 90TH STOmaha, NE 68114-3907

Mailing Address111 S 90th StOmaha, NE 68114-3907 · (402) 397-9800 · Fax (402) 397-7591

Phone(402) 397-9800

Fax(402) 397-7591

Sole ProprietorNo

Enumeration DateMay 23, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1225031479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in NE · 15530

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

111 S 90TH ST, Omaha, NE 68114

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Other Identifiers 1

Medicaid09883700IA

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 M Gordon Md 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 68114 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

$121.35 typical visit price

range $52.69 – $160.21

Typical copayment $30.33 (range $13.17 – $40.05)

Most-billed visit code 99204

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

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 19

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

CARRIE L CADORNA A.P.R.N.

Nurse Practitioner

111 S 90TH ST
OMAHA, NE 68114

Douglas County (402) 397-9800

DR. PATRICK B LEU MD

Urology

111 S 90TH ST
OMAHA, NE 68114

Douglas County (402) 397-9800

DR. HARVEY A KONIGSBERG MD

Urology

111 S 90TH ST
OMAHA, NE 68114

Douglas County (402) 397-9800

UROLOGY CENTER PC

Urology

111 S 90TH ST
OMAHA, NE 68114

Douglas County (402) 397-9800

DR. JON J MORTON MD

Urology

111 S 90TH ST
OMAHA, NE 68114

Douglas County (402) 397-9800

MEGAN ANN JOHNSON APRN-BC

Nurse Practitioner (Family)

111 S 90TH ST
OMAHA, NE 68114

Douglas County (402) 397-9800

CHASE LUTHER APRN

Nurse Practitioner

111 S 90TH ST
OMAHA, NE 68114

Douglas County (402) 397-9800

DR. STEPHEN S LIM MD

Urology

111 S 90TH ST
OMAHA, NE 68114

Douglas County (402) 397-9800

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 1225031479. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Peter Gordon located?

Peter Gordon practices at 111 S 90th St, Omaha, NE 68114. The listed phone number is (402) 397-9800.

What is Peter Gordon's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Peter Gordon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Peter Gordon was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.