RYAN DOUGLAS GORDON MD
NPI 1265963367
Surgery - Vascular Surgery in Henrico, VA

Q: What is Ryan Gordon's NPI number?

The NPI number for Ryan Gordon is 1265963367. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Q: What is Ryan Gordon's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Gordon was last updated on April 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment

7900 SHRADER RD, HENRICO, VA 23294(804) 288-1953 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 16, 2026, Jun 10, 2024, Jun 19, 2023 and 1 more (4 updates tracked since 2017).

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About Ryan Douglas Gordon Md NPPES

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

RYAN DOUGLAS GORDON MD (NPI 1265963367) is an individual vascular surgery provider in Henrico, Virginia, licensed in Virginia (0101278782) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1265963367

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameRYAN DOUGLAS GORDONCredential: MD

Location Address7900 SHRADER RDHenrico, VA 23294-4215

Mailing Address8135 Forest Ln # 515057Dallas, TX 75230-2472 · (804) 288-1953 · Fax (804) 282-1046

Phone(804) 288-1953

Sole ProprietorYes

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2017

Enumeration DateMarch 21, 2017

Last NPPES UpdateApril 16, 20264 updates tracked since enumeration

NPPES CertifiedApril 16, 2026

✔ NPI 1265963367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in VA · 0101278782

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

7900 SHRADER RD, Henrico, VA 23294

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Secondary Practice Locations 7

Location 11396B Tappahannock BlvdTappahannock, VA 22560-9309 · Phone (804) 288-1953 · Fax (804) 282-1046

Location 2267 Medical Park BlvdPetersburg, VA 23805-9337 · Phone (804) 288-1953 · Fax (804) 282-1046

Location 313460 Tredegar Lake PkwyMidlothian, VA 23112-4070 · Phone (804) 288-1953 · Fax (804) 282-1046

Location 46031 Staples Mill RdRichmond, VA 23228-4923 · Phone (804) 264-8782 · Fax (804) 266-9214

Location 5417 N 11th StRichmond, VA 23298-5024 · Phone (804) 828-9849 · Fax (804) 828-2744

Location 64755 Ogletown Stanton RdNewark, DE 19718-2200 · Phone (302) 733-1042

Location 78237 Meadowbridge RdMechanicsville, VA 23116-2329 · Phone (804) 288-1953 · Fax (804) 282-1046

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

Ryan Douglas Gordon Md 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 ID8729356548

PECOS Enrollment IDI20250612002906

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.

Hospital Affiliations CMS Care Compare 4

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490059

Location5801 Bremo RdRichmond, VA 23226 · Richmond City County

Emergency services Birthing friendly

Bon Secours Memorial Regional Medical Center

Acute Care Hospitals · Mechanicsville, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490069

Location8260 Atlee RoadMechanicsville, VA 23116 · Hanover County

Emergency services Birthing friendly

Henrico Doctors' Hospital

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490118

Location1602 Skipwith RoadRichmond, VA 23229 · Henrico County

Emergency services

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490136

Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23294 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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 17

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

DR. FRANK D STONEBURNER JR. MD

Surgery (Vascular Surgery)