DR. CRAIG E. GORDON MD
NPI 1508834763
Internal Medicine - Nephrology in Boston, MA

Q: What is Craig Gordon's NPI number?

The NPI number for Craig Gordon is 1508834763. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Craig Gordon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Craig Gordon was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 March 14, 2006PECOS EnrolledAccepts Medicare Assignment

800 WASHINGTON ST, BOSTON, MA 02111(617) 636-5000 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Craig E. Gordon Md NPPES

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

DR. CRAIG E. GORDON MD (NPI 1508834763) is an individual nephrology provider in Boston, Massachusetts, licensed in Massachusetts (160707) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Emerson Hospital -, and is a graduate of New York University School Of Medicine (1997).

NPPES Registry Identity

NPI1508834763

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. CRAIG E. GORDONCredential: MD

Location Address800 WASHINGTON STBoston, MA 02111-1552

Mailing Address800 Washington StBoston, MA 02111-1552 · (617) 636-5000

Phone(617) 636-5000

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 1997

Enumeration DateMarch 14, 2006

Last NPPES UpdateMay 7, 2018

✔ NPI 1508834763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in MA · 160707

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 160707 (MA)

800 WASHINGTON ST, Boston, MA 02111

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Craig E. Gordon 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 ID3870659949

PECOS Enrollment IDI20090226000106

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.

Medicare Billing Reassignments

Medicare enrollment records show Craig Gordon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pratt Medical Group, Inc

Same address

Gastroenterology

800 WASHINGTON ST, BOX 1013
Boston, MA 02111

Reassigned Medicare billing, Massachusetts enrollment
334 clinicians in this Medicare group

NPI 1013237809 (617) 636-5000

Cambridge Public Health Commission

2.7 mi

General Acute Care Hospital

1493 CAMBRIDGE ST
Cambridge, MA 02139

Reassigned Medicare billing, Massachusetts enrollment
719 clinicians in this Medicare group

NPI 1487603585 (617) 665-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

287 services90 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.

130 services59 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.

125 services86 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

88 services55 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.

47 services45 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.

40 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Emerson Hospital -

Acute Care Hospitals · W Concord, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220084

Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County

Emergency services Birthing friendly

Tufts Medical Center

Acute Care Hospitals · Boston, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220116

Location800 Washington StreetBoston, MA 02111 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

5 suppliers30 claims915 services$0.33 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers15 claims2,040 services$0.20 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

6 suppliers18 claims18 services$15.91 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

6 suppliers34 claims39 services$12.04 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.

AARON DICKSTEIN M.D.

Internal Medicine (Gastroenterology)

800 WASHINGTON ST, BOX 233
BOSTON, MA 02111

Suffolk County (617) 636-5883

THOMAS E BIGELOW

Technician/Technologist (Optician)

800 WASHINGTON ST, BOX 450
BOSTON, MA 02111

Suffolk County (617) 636-5857

SARAH MERRIMAN PERSING M.D.

Plastic Surgery