DR. DUDLEY R GORDON MD - NPI 1245298074 - Family Medicine in Hummelstown, PA

Q: What is Dudley Gordon's NPI number?

The NPI number for Dudley Gordon is 1245298074. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Q: What is Dudley Gordon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Dudley Gordon was last updated on May 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Dudley R Gordon Md NPPES

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

DR. DUDLEY R GORDON MD (NPI 1245298074) is an individual family medicine provider in Hummelstown, Pennsylvania, licensed in Pennsylvania (MD022169E) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Harrisburg.

NPPES Registry Identity

NPI1245298074

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DUDLEY R GORDONCredential: MD

Location Address8105 ADAMS DRHummelstown, PA 17036-8625

Mailing Address409 S 2nd St, Suite 2fHarrisburg, PA 17104-1612 · (717) 564-5400 · Fax (717) 564-7859

Phone(717) 652-1211

Fax(717) 652-4948

Sole ProprietorNo

Enumeration DateMay 2, 2006

Last NPPES UpdateMay 9, 20194 updates tracked since enumeration

✔ NPI 1245298074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD022169E

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8105 ADAMS DR, Hummelstown, PA 17036

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Secondary Practice Location 1

Location 12310 Patton RdHarrisburg, PA 17112-9154 · Phone (717) 724-6500 · Fax (717) 724-6510

Other Identifiers 3

Medicaid0009053290003PA

Other50070215PA · Cbc/caic

Other5126044PA · Aetna

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. Dudley R 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 17036 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.