KIMBERLY L GORDON MD
NPI 1629180179
Emergency Medicine - Pediatric Emergency Medicine in Fort Worth, TX
About Kimberly L Gordon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY L GORDON MD (NPI 1629180179) is an individual pediatric emergency medicine provider in Fort Worth, Texas, licensed in Texas (J8556) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly L Gordon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Cook Childrens Physician Network
- 1,186 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT WORTH, TX 76104
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 Kimberly Gordon's NPI number?
The NPI number for Kimberly Gordon is 1629180179. It was assigned to this individual provider in the NPPES registry on August 31, 2006. The provider is also known as Kimberly L Hayes MD.
Where is Kimberly Gordon located?
Kimberly Gordon practices at 801 7th Ave, Fort Worth, TX 76104. The listed phone number is (682) 885-4095.
What is Kimberly Gordon's specialty?
The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.
Is Kimberly Gordon enrolled in Medicare?
Yes. Kimberly Gordon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Gordon reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, TX). The 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 Kimberly Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Gordon accept?
Health plans from Baylor Scott and White Health Plan and Imperial Insurance Companies, Inc. list Kimberly 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.
When was this NPI record last updated?
The NPPES record for Kimberly Gordon was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kimberly L Gordon, MD · NPI 1629180179
Pediatric Emergency Medicine physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1629180179 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Emergency Medicine - Pediatric Emergency Medicine · taxonomy 207PP0204X
- **State license:** J8556 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 7TH AVE, Fort Worth, TX 76104-2733
- **Phone:** (682) 885-4095 · **Fax:** (682) 885-7499
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cook Children's Physician Network (NPI 1083472062, Fort Worth, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1629180179) · Data from the CMS NPPES public registry.