DR. SCOTT DAVID GORDON O.D.
NPI 1598723934
Optometrist in Yadkinville, NC

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
225 E LEE AVE, YADKINVILLE, NC 27055(336) 679-2931(336) 677-6486 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Jul 16, 2018, Jul 14, 2018 (3 updates tracked since 2018).

About Dr. Scott David Gordon O.d. NPPES

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

DR. SCOTT DAVID GORDON O.D. (NPI 1598723934) is an individual optometrist in Yadkinville, North Carolina, licensed in North Carolina (1999) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2005).

NPPES Registry Identity

NPI1598723934
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SCOTT DAVID GORDONCredential: O.D.
Location Address225 E LEE AVEYadkinville, NC 27055
Mailing Address225 E Lee AveYadkinville, NC 27055-8227 · (336) 679-2931 · Fax (336) 677-6486
Fax(336) 677-6486
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2005
Enumeration DateMay 3, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPI 1598723934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in NC · 1999
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

225 E LEE AVE, Yadkinville, NC 27055

Other Identifiers 6

Other2474038CMedicare - Yadkinville
Other525320Oe Tracker
Other1598723934Npi
Other1999NC · Od License
Other2474038DMedicare - East Bend
Medicaid5908096NC

Accepted 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. Scott David Gordon O.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 ID4981616190
PECOS Enrollment IDI20060706000182
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 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
146 services138 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.
138 services125 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.
44 services36 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.
33 services33 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
32 services27 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
31 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27055 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 4

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

Optometrist
225 E LEE AVE
YADKINVILLE, NC 27055
Optometrist
225 E LEE AVE
YADKINVILLE, NC 27055
Optometrist
225 E LEE AVE
YADKINVILLE, NC 27055
Optometrist
225 E LEE AVE
YADKINVILLE, NC 27055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598723934, enumerated as an "individual" on May 03, 2006.

The provider is located at 225 E LEE AVE YADKINVILLE, NC 27055 and the phone number is (336) 679-2931.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.