DR. DAVID WAYNE GORDON PH.D.
NPI 1396755617
Psychologist - Clinical in Norfolk, VA

Q: What is David Gordon's NPI number?

The NPI number for David Gordon is 1396755617. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is David Gordon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for David Gordon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 09, 2006PECOS EnrolledAccepts Medicare Assignment

1611 COLLEY AVE STE D, NORFOLK, VA 23517(757) 288-9741(757) 625-2563 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. David Wayne Gordon Ph.d. NPPES

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

DR. DAVID WAYNE GORDON PH.D. (NPI 1396755617) is an individual clinical provider in Norfolk, Virginia, licensed in Virginia (0810000716) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1973).

NPPES Registry Identity

NPI1396755617

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DAVID WAYNE GORDONCredential: PH.D.

Location Address1611 COLLEY AVE STE DNorfolk, VA 23517-1677

Mailing Address1611 Colley Ave Ste DNorfolk, VA 23517-1677 · (757) 288-9741 · Fax (757) 622-3944

Phone(757) 288-9741

Fax(757) 625-2563

Sole ProprietorYes

Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1973

Enumeration DateAugust 9, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1396755617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810000716

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1611 COLLEY AVE STE D, Norfolk, VA 23517

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Other Identifiers 1

Medicaid00707452VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Dr. David Wayne Gordon Ph.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 ID7618151127

PECOS Enrollment IDI20110407000452

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23517 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

$170.30 typical visit price

range $56.19 – $170.30

Typical copayment $42.57 (range $14.04 – $42.57)

Most-billed visit code 99205

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

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 David Gordon's NPI number?

The NPI number for David Gordon is 1396755617. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is David Gordon located?

David Gordon practices at 1611 Colley Ave Ste D, Norfolk, VA 23517. The listed phone number is (757) 288-9741.

What is David Gordon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is David Gordon enrolled in Medicare?

Yes. David 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 David Gordon accept?

Health plans from Providence Health Plan list David 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 David Gordon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.