DR. DINA M GORDON M.D.
NPI 1417185794
Obstetrics & Gynecology in Edmonds, WA

Q: What is Dina Gordon's NPI number?

The NPI number for Dina Gordon is 1417185794. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Q: What is Dina Gordon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Dina Gordon was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 25, 2009PECOS EnrolledAccepts Medicare Assignment

82.84/100

CMS Quality Rating

21616 76TH AVE W STE 205, EDMONDS, WA 98026(425) 640-4810(425) 640-4884 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 25, 2021, Mar 17, 2018, Sep 1, 2017 (3 updates tracked since 2017).

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About Dr. Dina M Gordon M.d. NPPES

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

DR. DINA M GORDON M.D. (NPI 1417185794) is an individual obstetrics & gynecology provider in Edmonds, Washington, licensed in Washington (MD60520862) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and maintains a secondary practice location in Medford.

NPPES Registry Identity

NPI1417185794

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. DINA M GORDONCredential: M.D.

Location Address21616 76TH AVE W STE 205Edmonds, WA 98026-7512

Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043

Phone(425) 640-4810

Fax(425) 640-4884

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJune 25, 2009

Last NPPES UpdateMay 25, 20213 updates tracked since enumeration

NPPES CertifiedMay 25, 2021

✔ NPI 1417185794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in WA · MD60520862✔ Licensed in MA · 255305

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

21616 76TH AVE W STE 205, Edmonds, WA 98026

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Secondary Practice Location 1

Location 126 City Hall Mall, Harvard Vanguard Medical Associates, Ob/Gyn DeptMedford, MA 02155-4754 · Phone (781) 306-5304 · Fax (781) 306-5227

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, 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. Dina M Gordon M.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 ID5294961900

PECOS Enrollment IDI20150326000544

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 3

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.

40 services29 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

19 services14 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.

15 services14 patients

Hospital Affiliations CMS Care Compare

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

Swedish Medical Center

Acute Care Hospitals · Seattle, WA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500027

Location747 BroadwaySeattle, WA 98122 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98026 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

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.

82.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.14

Promoting Interoperability

100

Improvement Activities

Cost

60.65

Other Providers at the Same Location NPPES 14

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

CAROLYN KAY MD

Obstetrics & Gynecology