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GRACE GORDON PA-C
NPI 1265397475
Physician Assistant in Rockford, IL

Active since December 19, 2025PECOS EnrolledAccepts Medicare Assignment
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114(815) 398-9491(815) 381-7498 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Gordon Pa-c NPPES

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

GRACE GORDON PA-C (NPI 1265397475) is an individual physician assistant in Rockford, Illinois, licensed in Illinois (085011731) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1265397475
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGRACE GORDONCredential: PA-C
Location Address5875 E RIVERSIDE BLVDRockford, IL 61114-4937
Mailing AddressPo Box 735263Chicago, IL 60673-5263
Phone(815) 398-9491
Fax(815) 381-7498
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 19, 2025
NPPES CertifiedDecember 19, 2025
✔ NPI 1265397475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085011731
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5875 E RIVERSIDE BLVD, Rockford, IL 61114
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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

Grace Gordon Pa-c 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 ID5698253532
PECOS Enrollment IDI20260202000441
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 61114 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 20

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

DR. LIZA A DAFCHAHI SHIRANI MD
Anesthesiology
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 398-9491
MARIOLA U GRZESZCZYK APRN
Nurse Practitioner
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 398-9491
DR. WILLIAM B WEEMS MD
Anesthesiology
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 398-9491
DR. DOUGLAS JOSEPH PACACCIO DPM
Podiatrist (Foot & Ankle Surgery)
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 398-9491
AMANDA L FOIT NP
Nurse Practitioner
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 398-9491
RYAN C ENKE M.D.
Physical Medicine & Rehabilitation
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 398-9491
DR. VISHRUT P. NAIK MD
Anesthesiology (Pain Medicine)
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 398-9491
ADAM SOLIMAN DO
Anesthesiology
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 398-9491

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 Grace Gordon's NPI number?

The NPI number for Grace Gordon is 1265397475. It was assigned to this individual provider in the NPPES registry on December 19, 2025.

Where is Grace Gordon located?

Grace Gordon practices at 5875 E Riverside Blvd, Rockford, IL 61114. The listed phone number is (815) 398-9491.

What is Grace Gordon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Grace Gordon enrolled in Medicare?

Yes. Grace 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.

When was this NPI record last updated?

The NPPES record for Grace Gordon was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.