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KIMBERLY L GORDON MD
NPI 1629180179
Emergency Medicine - Pediatric Emergency Medicine in Fort Worth, TX

Active since August 31, 2006PECOS Enrolled
801 7TH AVE, FORT WORTH, TX 76104(682) 885-4095(682) 885-7499 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2021, Apr 9, 2021 (2 updates tracked since 2021).

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

NPI1629180179
Entity TypeIndividualFemale
Primary Taxonomy207PP0204X
Provider Legal NameKIMBERLY L GORDONCredential: MD
Location Address801 7TH AVEFort Worth, TX 76104-2733
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396
Phone(682) 885-4095
Fax(682) 885-7499
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateMay 5, 20212 updates tracked since enumeration
NPPES CertifiedMay 5, 2021
✔ NPI 1629180179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
License✔ Licensed in TX · J8556
Definition

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

801 7TH AVE, Fort Worth, TX 76104
Open in Google Maps ↗

Other Names 1

Former Name (1)Kimberly L Hayes Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly L Gordon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

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.

JON MICHAEL BADGWELL M.D.
Anesthesiology
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4054
MR. DAVID E REDELSPERGER RPH, DPH
Pharmacist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4184
ALLISON L. HYLAND CRNA
Nurse Anesthetist, Certified Registered
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4054
DR. ROBERT L URSPRUNG M.D.
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE, COOK CHILDRENS, DEPT OF NEONATOLOGY
FORT WORTH, TX 76104
Tarrant County (682) 885-4283
DR. JONATHAN HENRY NEDRELOW M.D.
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4283
DR. BENJAMIN SANFORD BRANN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4283
DR. SUSAN LYNN SWARD-COMUNELLI M.D.
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4283
DR. CHANDA RENEE SIMPSON M.D.
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4283

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.

What insurance does Kimberly Gordon accept?

Health plans from Baylor Scott and White Health Plan 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 with the weekly NPPES data releases published by CMS.