DARYL J GORDON CRNP
NPI 1275863839
Nurse Practitioner - Family in Jim Thorpe, PA
About Daryl J Gordon Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DARYL J GORDON CRNP (NPI 1275863839) is an individual family provider in Jim Thorpe, Pennsylvania, licensed in Pennsylvania (SP010668) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Daryl J Gordon Crnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Daryl Gordon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jim Thorpe, PA 18229
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Orwigsburg, PA 17961
- Reassigned Medicare billing, Pennsylvania enrollment
- 953 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Hospital Bethlehem
Acute Care Hospitals · Bethlehem, PASt Luke's Miners Memorial Hospital
Acute Care Hospitals · Coaldale, PASt Luke's Hospital - Carbon Campus
Acute Care Hospitals · Lehighton, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Daryl Gordon's NPI number?
The NPI number for Daryl Gordon is 1275863839. It was assigned to this individual provider in the NPPES registry on January 5, 2010.
Where is Daryl Gordon located?
Daryl Gordon practices at 1122 North St, Jim Thorpe, PA 18229. The listed phone number is (484) 526-6545.
What is Daryl Gordon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Daryl Gordon enrolled in Medicare?
Yes. Daryl 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.
Which organizations bill Medicare for Daryl Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Daryl Gordon reassigns Medicare benefits to 2 organizations: St Luke's Physician Group, Inc (Jim Thorpe, PA) and Gslpg, Inc (Orwigsburg, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daryl Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Daryl Gordon affiliated with any hospitals?
According to CMS data, Daryl Gordon is affiliated with St Luke's Hospital Bethlehem, St Luke's Miners Memorial Hospital and St Luke's Hospital - Carbon Campus.
When was this NPI record last updated?
The NPPES record for Daryl Gordon was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Daryl J Gordon, CRNP · NPI 1275863839
Family physician in Jim Thorpe, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 5, 2010.
## Identity
- **NPI:** 1275863839 (Entity type: Individual)
- **Enumerated:** January 5, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP010668 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1122 NORTH ST, Jim Thorpe, PA 18229-1717
- **Phone:** (484) 526-6545
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Luke's Physician Group, Inc (NPI 1336872597, Jim Thorpe, PA); Gslpg, Inc (NPI 1366006702, Orwigsburg, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** September 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1275863839) · Data from the CMS NPPES public registry.