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RICHARD SHAWN GORDON M.D.
NPI 1235121955
Surgery in Largo, FL

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
81.63/100
CMS Quality Rating
1258 W BAY DR STE D, LARGO, FL 33770(727) 586-3751(727) 584-3102 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Shawn Gordon M.d. NPPES

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

RICHARD SHAWN GORDON M.D. (NPI 1235121955) is an individual surgery provider in Largo, Florida, licensed in Florida (ME90619) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Mease Dunedin Hospital, and maintains a secondary practice location in Dunedin.

NPPES Registry Identity

NPI1235121955
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRICHARD SHAWN GORDONCredential: M.D.
Location Address1258 W BAY DR STE DLargo, FL 33770-2277
Mailing Address1258 W Bay Dr Ste DLargo, FL 33770-2277 · (727) 586-3751 · Fax (727) 587-9340
Phone(727) 586-3751
Fax(727) 584-3102
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 18, 2005
Last NPPES UpdateFebruary 1, 2019
✔ NPI 1235121955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME90619
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1258 W BAY DR STE D, Largo, FL 33770
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Secondary Practice Location 1

Location 1646 Virginia St Fl 4Dunedin, FL 34698-6612 · Phone (727) 586-3751

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Richard Shawn 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 ID8820062532
PECOS Enrollment IDI20040819001125
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 10

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
128 services81 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
93 services89 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.
34 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
27 services27 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.
25 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Mease Dunedin Hospital

Acute Care Hospitals · Dunedin, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100043
Location601 Main StDunedin, FL 34698 · Pinellas County
Emergency services

Morton Plant North Bay Hospital

Acute Care Hospitals · New Port Richey, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100063
Location6600 Madison StNew Port Richey, FL 34652 · Pasco County
Emergency services

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Hca Florida Largo Hospital

Acute Care Hospitals · Largo, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100248
Location201 14th St SWLargo, FL 33770 · Pinellas County
Emergency services

Mease Countryside Hospital

Acute Care Hospitals · Safety Harbor, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100265
Location3231 Mcmullen Booth RdSafety Harbor, FL 34695 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33770 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

81.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.96
Promoting Interoperability90
Improvement Activities40
Cost54.47

Other Providers at the Same Location NPPES 4

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

JESUS DIAZ VERA
Internal Medicine (Infectious Disease)
1258 W BAY DR STE D
LARGO, FL 33770
Pinellas County (727) 420-6374
RACHEL IRBY M.D.
Internal Medicine (Infectious Disease)
1258 W BAY DR STE D
LARGO, FL 33770
Pinellas County (727) 420-6374
DR. KARTHIK SUGUMARAN D.O.
Surgery
1258 W BAY DR STE D
LARGO, FL 33770
Pinellas County (727) 586-3751
KATE MICHELE LAUER APRN
Nurse Practitioner (Acute Care)
1258 W BAY DR STE D
LARGO, FL 33770
Pinellas County (727) 420-6374

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 Richard Gordon's NPI number?

The NPI number for Richard Gordon is 1235121955. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Richard Gordon located?

Richard Gordon practices at 1258 W Bay Dr Ste D, Largo, FL 33770. The listed phone number is (727) 586-3751.

What is Richard Gordon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Richard Gordon enrolled in Medicare?

Yes. Richard 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.

What insurance does Richard Gordon accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Richard 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 Richard Gordon affiliated with any hospitals?

According to CMS data, Richard Gordon is affiliated with Mease Dunedin Hospital, Morton Plant North Bay Hospital, Morton Plant Hospital, Hca Florida Largo Hospital and Mease Countryside Hospital.

When was this NPI record last updated?

The NPPES record for Richard Gordon was last updated on February 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.