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RANDALL STUART GORDON DO
NPI 1407964299
Internal Medicine in Philadelphia, PA

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
86.75/100
CMS Quality Rating
800 SPRUCE STREET, PINE 1 WEST, PHILADELPHIA, PA 19107(215) 829-7817(215) 829-7129 Get Directions Write a Review

NPPES record last updated: May 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randall Stuart Gordon Do NPPES

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

RANDALL STUART GORDON DO (NPI 1407964299) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS008913L) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Pennsylvania Hospital, and is a graduate of Nova Southeastern College Of Osteo Medicine (1993).

NPPES Registry Identity

NPI1407964299
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRANDALL STUART GORDONCredential: DO
Location Address800 SPRUCE STREET, PINE 1 WESTPhiladelphia, PA 19107-6130
Mailing Address800 Spruce Street, Pine 1 WestPhiladelphia, PA 19107-6130 · (215) 829-7817 · Fax (215) 829-7129
Phone(215) 829-7817
Fax(215) 829-7129
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 1993
Enumeration DateAugust 29, 2006
Last NPPES UpdateMay 10, 2012
✔ NPI 1407964299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · OS008913L
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.
800 SPRUCE STREET, Philadelphia, PA 19107
Open in Google Maps ↗

Other Identifiers 3

Medicaid0019158670002PA
Medicare PIN049231PA
Medicare UPINH41823PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Randall Stuart 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 ID2365534138
PECOS Enrollment IDI20070824000100
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
314 services101 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
69 services38 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
64 services61 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

86.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.91
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$61.89 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.

DR. NICHOLAS KIAN MOLLANAZAR MD, MBA
Dermatology
800 SPRUCE STREET, 10TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (941) 718-8997
MARYGRACE HEGARTY PA-C
Physician Assistant
800 SPRUCE STREET, PINE 1 WEST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-7817
SARAH ELIZABETH NABER PA-C
Physician Assistant
800 SPRUCE STREET
PHILADELPHIA, PA 19107
Philadelphia County (215) 662-7320
BETH AMY SCOTT DO
Radiology (Diagnostic Radiology)
800 SPRUCE STREET, 2 SCHIEDT
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-6079
YVONNE ROTTEVEEL CRNA
Nurse Anesthetist, Certified Registered
800 SPRUCE STREET
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3867
MALATHY SRINIVASAN MD
Physical Medicine & Rehabilitation
800 SPRUCE STREET
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-7923
JOHN SJ BROOKS MD
Pathology (Anatomic Pathology & Clinical Pathology)
800 SPRUCE STREET, 6 PRESTON
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3541
DR. IMMANUEL KING HANG HO MD
Internal Medicine (Gastroenterology)
800 SPRUCE STREET
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3000

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 Randall Gordon's NPI number?

The NPI number for Randall Gordon is 1407964299. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Randall Gordon located?

Randall Gordon practices at 800 Spruce Street Pine 1 West, Philadelphia, PA 19107. The listed phone number is (215) 829-7817.

What is Randall Gordon's specialty?

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

Is Randall Gordon enrolled in Medicare?

Yes. Randall 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 Randall Gordon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Randall 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 Randall Gordon affiliated with any hospitals?

According to CMS data, Randall Gordon is affiliated with Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Randall Gordon was last updated on May 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.