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GORDON THOMAS FAHEY JR. MD
NPI 1457323446
Surgery in Lodi, CA

Active since February 03, 2006PECOS EnrolledAccepts Medicare Assignment
999 S FAIRMONT AVE, SUITE 100, LODI, CA 95240(209) 334-2010(209) 334-0132 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2022, Feb 19, 2016 (2 updates tracked since 2016).

About Gordon Thomas Fahey Jr. Md NPPES

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

GORDON THOMAS FAHEY JR. MD (NPI 1457323446) is an individual surgery provider in Lodi, California, licensed in California (A78020) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2000).

NPPES Registry Identity

NPI1457323446
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameGORDON THOMAS FAHEY JR.Credential: MD
Location Address999 S FAIRMONT AVE, SUITE 100Lodi, CA 95240-5100
Mailing Address999 S Fairmont Ave, Suite 100Lodi, CA 95240-5100 · (209) 334-2010 · Fax (209) 334-0132
Phone(209) 334-2010
Fax(209) 334-0132
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2000
Enumeration DateFebruary 3, 2006
Last NPPES UpdateMay 2, 20222 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
✔ NPI 1457323446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A78020
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
999 S FAIRMONT AVE, Lodi, CA 95240
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Other Identifiers 1

MedicaidGR0102080CA

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

Gordon Thomas Fahey Jr. Md 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 ID2860417052
PECOS Enrollment IDI20051006000690
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 9

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
105 services41 patients
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.
62 services44 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
47 services47 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
37 services37 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95240 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 20

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

DR. DENNY SCHOCH M.D.
Surgery
999 S FAIRMONT AVE, SUITE 100
LODI, CA 95240
San Joaquin County (209) 334-2010
JAMES S. HOFF, M.D., A MEDICAL CORPORATION
Internal Medicine
999 S FAIRMONT AVE, SUITE 135
LODI, CA 95240
San Joaquin County (209) 224-5719
SUTTER GOULD MEDICAL FOUNDATION
Internal Medicine
999 S FAIRMONT AVE, #130/135
LODI, CA 95240
San Joaquin County (209) 366-2001
P. GILL OBSTETERICS & GYNECOLOGY MEDICAL GROUP, INC
Registered Nurse
999 S FAIRMONT AVE, STE. 230
LODI, CA 95240
San Joaquin County (209) 334-4924
DIANNA AKESH
Registered Nurse
999 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 334-0799
WALEED IBRAHIM M.D., INC.
Internal Medicine (Gastroenterology)
999 S FAIRMONT AVE, STE. 115
LODI, CA 95240
San Joaquin County (209) 334-7559
P. GILL OBSTETRICS & GYNECOLOGY MEDICAL GROUP, INC.
Obstetrics & Gynecology
999 S FAIRMONT AVE, STE 230
LODI, CA 95240
San Joaquin County (209) 465-5550
JOSEPH D GAYAGOY M.D.
Internal Medicine
999 S FAIRMONT AVE, SUITE 135
LODI, CA 95240
San Joaquin County (209) 366-2060

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 Gordon Fahey's NPI number?

The NPI number for Gordon Fahey is 1457323446. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Gordon Fahey located?

Gordon Fahey practices at 999 S Fairmont Ave Suite 100, Lodi, CA 95240. The listed phone number is (209) 334-2010.

What is Gordon Fahey's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Gordon Fahey enrolled in Medicare?

Yes. Gordon Fahey 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.

When was this NPI record last updated?

The NPPES record for Gordon Fahey was last updated on May 2, 2022. 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.