1. Home
  2. Directory
  3. Massachusetts
  4. Southbridge
  5. Internal Medicine
  6. NPI Profile

DR. JEFFREY A GORDON M.D.
NPI 1609857119
Internal Medicine - Hematology & Oncology in Southbridge, MA

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
55 SAYLES ST, SOUTHBRIDGE, MA 01550(508) 764-2400(508) 909-7770 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 18, 2024, Aug 31, 2018, Feb 17, 2016 and 2 more (5 updates tracked since 2016).

About Dr. Jeffrey A Gordon M.d. NPPES

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

DR. JEFFREY A GORDON M.D. (NPI 1609857119) is an individual hematology & oncology provider in Southbridge, Massachusetts, licensed in Massachusetts (150280) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of University Of Massachusetts Medical School (1993).

NPPES Registry Identity

NPI1609857119
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. JEFFREY A GORDONCredential: M.D.
Location Address55 SAYLES STSouthbridge, MA 01550-1729
Mailing Address39 May BrkWoodstock, CT 06281-1819 · (860) 963-1183 · Fax (609) 631-1898
Phone(508) 764-2400
Fax(508) 909-7770
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1993
Enumeration DateNovember 10, 2005
Last NPPES UpdateNovember 18, 20245 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1609857119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in MA · 150280✔ Licensed in CT · 36423
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
55 SAYLES ST, Southbridge, MA 01550
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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. Jeffrey A 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 ID3779505276
PECOS Enrollment IDI20080403000342
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

3

Medicare enrollment records show Jeffrey Gordon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Umass Memorial Health-Harrington Hospital Inc
0.1 mi
General Acute Care Hospital
100 SOUTH STREET
Southbridge, MA 01550
  • Reassigned Medicare billing, Massachusetts enrollment
  • 68 clinicians in this Medicare group
NPI 1790780047 (508) 765-9771
Umass Memorial Medical Group, Inc.
10 mi
Urgent Care
78 SUTTON AVE
Oxford, MA 01540
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1982381018 (508) 499-1760
Hartford Healthcare Medical Group, Inc
42 mi
Surgery
1290 SILAS DEANE HWY, ATTN: LINDA STRAKA
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut enrollment
  • 747 clinicians in this Medicare group
NPI 1043561301 (860) 972-9033

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 2

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 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.
430 services174 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.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01550 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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

DR. ANDREI BANDARCHUK M.D.
Internal Medicine (Hematology & Oncology)
55 SAYLES ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-2400
AMANDA TATLOCK NASCIMENTO MS, LCGC
Genetic Counselor, MS
55 SAYLES ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-2400
COURTNEY LYNN COWELL NP-C
Nurse Practitioner (Acute Care)
55 SAYLES ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-2400
MR. GERALDO SILVA-CREIGHTON NP
Nurse Practitioner
55 SAYLES ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-2400
DR. EBENEZER ASARE M.D.
Radiology (Radiation Oncology)
55 SAYLES ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-6830
DONNA MARIE KENTLEY PA
Physician Assistant
55 SAYLES ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-2400
CENTRAL MASSACHUSETTS COMPREHENSIVE CANCER CENTER LLC
Clinic/Center
55 SAYLES ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-6830
DR. YASSER REHMAN M.D.
Internal Medicine
55 SAYLES ST, THE CANCER CENTER AT HARRINGTON
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-2400

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 Jeffrey Gordon's NPI number?

The NPI number for Jeffrey Gordon is 1609857119. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Jeffrey Gordon located?

Jeffrey Gordon practices at 55 Sayles St, Southbridge, MA 01550. The listed phone number is (508) 764-2400.

What is Jeffrey Gordon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Jeffrey Gordon enrolled in Medicare?

Yes. Jeffrey Gordon 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.

Which organizations bill Medicare for Jeffrey Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Gordon reassigns Medicare benefits to 3 organizations: Umass Memorial Health-Harrington Hospital Inc (Southbridge, MA), Umass Memorial Medical Group, Inc. (Oxford, MA) and Hartford Healthcare Medical Group, Inc (Wethersfield, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Gordon accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Jeffrey Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jeffrey Gordon affiliated with any hospitals?

According to CMS data, Jeffrey Gordon is affiliated with Umass Memorial Health - Harrington Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Jeffrey Gordon was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.