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DR. ROBERT MICHAEL GORDON DO
NPI 1336764919
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Active since June 10, 2020PECOS EnrolledAccepts Medicare Assignment
1020 SANSOM ST STE 1652, PHILADELPHIA, PA 19107(215) 456-9015 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2024, Jun 10, 2020 (2 updates tracked since 2020).

About Dr. Robert Michael Gordon Do NPPES

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

DR. ROBERT MICHAEL GORDON DO (NPI 1336764919) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OT020092) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1336764919
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ROBERT MICHAEL GORDONCredential: DO
Location Address1020 SANSOM ST STE 1652Philadelphia, PA 19107-5002
Mailing Address1020 Sansom St Ste 1652Philadelphia, PA 19107-5002
Phone(215) 456-9015
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2020
Enumeration DateJune 10, 2020
Last NPPES UpdateJune 27, 20242 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1336764919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · OT020092
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1020 SANSOM ST STE 1652, Philadelphia, PA 19107
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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

Dr. Robert Michael Gordon Do 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 ID2163961954
PECOS Enrollment IDI20250925002696
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

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

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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

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

DR. LYNNE DEE BOONE D.O.
Psychiatry & Neurology (Psychosomatic Medicine)
1020 SANSOM ST STE 1652
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9545

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 Robert Gordon's NPI number?

The NPI number for Robert Gordon is 1336764919. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Where is Robert Gordon located?

Robert Gordon practices at 1020 Sansom St Ste 1652, Philadelphia, PA 19107. The listed phone number is (215) 456-9015.

What is Robert Gordon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Robert Gordon enrolled in Medicare?

Yes. Robert 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 Robert Gordon affiliated with any hospitals?

According to CMS data, Robert Gordon is affiliated with Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Gordon was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.