DARYL J GORDON CRNP
NPI 1275863839
Nurse Practitioner - Family in Jim Thorpe, PA

Active since January 05, 2010PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
1122 NORTH ST, JIM THORPE, PA 18229(484) 526-6545 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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

NPI1275863839
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDARYL J GORDONCredential: CRNP
Location Address1122 NORTH STJim Thorpe, PA 18229-1717
Mailing Address1122 North StJim Thorpe, PA 18229-1717 · (484) 526-6545
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 5, 2010
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
NPI 1275863839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP010668
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP010668 (PA)
1122 NORTH ST, Jim Thorpe, PA 18229

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

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.

PECOS PAC ID1456495217
PECOS Enrollment IDI20100217000122
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 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.

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.
244 services181 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.
87 services87 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.
39 services38 patients

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, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

St Luke's Hospital - Carbon Campus

Acute Care Hospitals · Lehighton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390335
Location500 St Luke's DriveLehighton, PA 18235 · Carbon County
Emergency services

Physician 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.

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.

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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

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.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier15 claims15 services$65.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
1122 NORTH ST
JIM THORPE, PA 18229
Internal Medicine
1122 NORTH ST
JIM THORPE, PA 18229
Nurse Practitioner
1122 NORTH ST
JIM THORPE, PA 18229
Family Medicine
1122 NORTH ST
JIM THORPE, PA 18229
Physician Assistant
1122 NORTH ST
JIM THORPE, PA 18229

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.

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 11 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.