KENNETH LAWRENCE GORDON MD
NPI 1548301021
Psychiatry & Neurology - Child & Adolescent Psychiatry in Oneonta, NY

Q: What is Kenneth Gordon's NPI number?

The NPI number for Kenneth Gordon is 1548301021. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Q: What is Kenneth Gordon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: Is Kenneth Gordon enrolled in Medicare?

No. Kenneth Gordon has opted out of Medicare through November 27, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Gordon was last updated on March 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 February 09, 2007Opted out of Medicare · through Nov 27, 2026

75 CHESTNUT ST., ONEONTA, NY 13820(607) 433-1663 Get Directions Write a Review

NPPES record last updated: March 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kenneth Lawrence Gordon Md NPPES

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

KENNETH LAWRENCE GORDON MD (NPI 1548301021) is an individual child & adolescent psychiatry provider in Oneonta, New York, licensed in New York (135128) and active in the NPI registry since February 2007. He has opted out of Medicare through November 27, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1548301021

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameKENNETH LAWRENCE GORDONCredential: MD

Location Address75 CHESTNUT ST.Oneonta, NY 13820

Mailing Address75 Chestnut St.Oneonta, NY 13820 · (607) 433-1663

Phone(607) 433-1663

Sole ProprietorNo

Enumeration DateFebruary 9, 2007

Last NPPES UpdateMarch 24, 2010

✔ NPI 1548301021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in NY · 135128

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

75 CHESTNUT ST., Oneonta, NY 13820

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Kenneth Lawrence Gordon Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 27, 2012 through November 27, 2026.

Opt-Out Effective DateNovember 27, 2012

Opt-Out In Effect ThroughNovember 27, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Kenneth Gordon's NPI number?

The NPI number for Kenneth Gordon is 1548301021. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Kenneth Gordon located?

Kenneth Gordon practices at 75 Chestnut St., Oneonta, NY 13820. The listed phone number is (607) 433-1663.

What is Kenneth Gordon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kenneth Gordon enrolled in Medicare?

No. Kenneth Gordon has opted out of Medicare through November 27, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kenneth Gordon was last updated on March 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.