DR. BRYON JOHN GORTON M.D.
NPI 1366500910
Specialist in O Fallon, IL

Q: What is Bryon Gorton's NPI number?

The NPI number for Bryon Gorton is 1366500910. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Q: What is Bryon Gorton's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Bryon Gorton was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 05, 2006PECOS Enrolled

1 SAINT ELIZABETH BLVD, O FALLON, IL 62269(618) 234-2120(618) 222-4646 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Bryon John Gorton M.d. NPPES

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

DR. BRYON JOHN GORTON M.D. (NPI 1366500910) is an individual specialist in O Fallon, Illinois, licensed in Illinois (036-078262) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366500910

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. BRYON JOHN GORTONCredential: M.D.

Location Address1 SAINT ELIZABETH BLVDO Fallon, IL 62269-1099

Mailing Address211 S 3rd StBelleville, IL 62220-1915 · (618) 234-2120 · Fax (618) 222-4646

Phone(618) 234-2120

Fax(618) 222-4646

Sole ProprietorNo

Enumeration DateDecember 5, 2006

Last NPPES UpdateDecember 28, 2021

NPPES CertifiedDecember 28, 2021

✔ NPI 1366500910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IL · 036-078262

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1 SAINT ELIZABETH BLVD, O Fallon, IL 62269

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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 (PECOS)

Dr. Bryon John Gorton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Tubular dressing with or without elastic, any width, per linear yard A6457

DME-Medical/Surgical Supplies · category DA023N

1 supplier11 claims11 services$1.11 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 20

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

ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER

Rehabilitation Unit