JOEL E GORDON MD
NPI 1306875711
Family Medicine in Verona, WI

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
100 N NINE MOUND RD, VERONA, WI 53593(608) 845-9531 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2023, May 2, 2023, Feb 9, 2023 and 2 more (5 updates tracked since 2019).

About Joel E Gordon Md NPPES

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

JOEL E GORDON MD (NPI 1306875711) is an individual family medicine provider in Verona, Wisconsin, licensed in Wisconsin (81304-20) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1306875711
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOEL E GORDONCredential: MD
Location Address100 N NINE MOUND RDVerona, WI 53593-1032
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 30, 2006
Last NPPES UpdateJanuary 31, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2024
NPI 1306875711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WI · 81304-20 Licensed in MN · 48459
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 N NINE MOUND RD, Verona, WI 53593

Accepted Insurance

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

Joel E 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 ID1355351958
PECOS Enrollment IDI20230221002104
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 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.
24 services24 patients
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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53593 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Family Medicine
100 N NINE MOUND RD
VERONA, WI 53593
Family Medicine
100 N NINE MOUND RD
VERONA, WI 53593
Physical Therapist
100 N NINE MOUND RD
VERONA, WI 53593
Student in an Organized Health Care Education/Training Program
100 N NINE MOUND RD
VERONA, WI 53593
Durable Medical Equipment & Medical Supplies
100 N NINE MOUND RD
VERONA, WI 53593
Family Medicine
100 N NINE MOUND RD
VERONA, WI 53593
Physical Therapist
100 N NINE MOUND RD
VERONA, WI 53593
Student in an Organized Health Care Education/Training Program
100 N NINE MOUND RD
VERONA, WI 53593

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 Joel Gordon's NPI number?

The NPI number for Joel Gordon is 1306875711. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Joel Gordon located?

Joel Gordon practices at 100 N Nine Mound Rd, Verona, WI 53593. The listed phone number is (608) 845-9531.

What is Joel Gordon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joel Gordon enrolled in Medicare?

Yes. Joel 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.

What insurance does Joel Gordon accept?

Health plans from Sanford Health Plan list Joel 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.

Is Joel Gordon affiliated with any hospitals?

According to CMS data, Joel Gordon is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Joel Gordon was last updated on January 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.