DR. BARRY MARK GORDON M.D.
NPI 1285740787
Internal Medicine in Lakewood, NJ

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
809 RIVER AVE, LAKEWOOD, NJ 08701(732) 905-9944(732) 444-3118 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 18, 2019, Jan 3, 2017 (2 updates tracked since 2017).

About Dr. Barry Mark Gordon M.d. NPPES

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

DR. BARRY MARK GORDON M.D. (NPI 1285740787) is an individual internal medicine provider in Lakewood, New Jersey, licensed in New Jersey (25MA07707800) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Hahnemann University College Of Medicine (1979).

NPPES Registry Identity

NPI1285740787
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BARRY MARK GORDONCredential: M.D.
Location Address809 RIVER AVELakewood, NJ 08701-5286
Mailing Address212 Van Houten Ave, Apartment 2Passaic, NJ 07055-4607 · (848) 299-3418
Fax(732) 444-3118
Sole ProprietorYes
Medical School CMSHahnemann University College Of MedicineGraduated 1979
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 18, 20192 updates tracked since enumeration
✔ NPI 1285740787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NJ · 25MA07707800✔ Licensed in NY · 273313
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
809 RIVER AVE, Lakewood, NJ 08701

Other Identifiers 1

Medicaid0849596NJ

Accepted Insurance

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

Dr. Barry Mark Gordon M.d. 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 ID8426092388
PECOS Enrollment IDI20070209000294
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.

Medicare Billing Reassignment

Medicare enrollment records show Barry Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
464 HUDSON TER STE 201
Englewood Cliffs, NJ 07632
  • Reassigned Medicare billing, New Jersey enrollment
  • 155 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 2

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 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.
54 services36 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08701 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Internal Medicine
809 RIVER AVE
LAKEWOOD, NJ 08701
Occupational Therapist
809 RIVER AVE
LAKEWOOD, NJ 08701
Physician Assistant
809 RIVER AVE
LAKEWOOD, NJ 08701
Physical Therapist
809 RIVER AVE, SUITE 4
LAKEWOOD, NJ 08701

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 Barry Gordon's NPI number?

The NPI number for Barry Gordon is 1285740787. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Barry Gordon located?

Barry Gordon practices at 809 River Ave, Lakewood, NJ 08701. The listed phone number is (732) 905-9944.

What is Barry Gordon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Barry Gordon enrolled in Medicare?

Yes. Barry 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 organization bills Medicare for Barry Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barry Gordon reassigns Medicare benefits to Hudson MD Group (Englewood Cliffs, NJ). The 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 Barry Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Barry Gordon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Barry Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Barry Gordon was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.