DR. GORDON MARVIN RICK DDS, MS
NPI 1679693550
Dentist - Oral and Maxillofacial Pathology in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0106X and a focus in Oral and Maxillofacial Pathology.

Active since April 02, 2007PECOS Enrolled

5190 GOVERNOR DR, SUITE 106, SAN DIEGO, CA 92122(858) 784-0600(858) 784-0604 Get Directions Write a Review

NPPES record last updated: March 14, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Gordon Marvin Rick Dds, Ms NPPES

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

DR. GORDON MARVIN RICK DDS, MS (NPI 1679693550) is an individual oral and maxillofacial pathology provider in San Diego, California, licensed in California (20041) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679693550

Entity TypeIndividualMale

Primary Taxonomy1223P0106X

Provider Legal NameDR. GORDON MARVIN RICKCredential: DDS, MS

Location Address5190 GOVERNOR DR, SUITE 106San Diego, CA 92122-2847

Mailing Address5190 Governor Dr, Suite 106San Diego, CA 92122-2847 · (858) 784-0600 · Fax (858) 784-0604

Phone(858) 784-0600

Fax(858) 784-0604

Sole ProprietorYes

Enumeration DateApril 2, 2007

Last NPPES UpdateMarch 14, 2008

✔ NPI 1679693550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers

Taxonomy Code1223P0106X

License✔ Licensed in CA · 20041

Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

5190 GOVERNOR DR, San Diego, CA 92122

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Other Names 1

Other Name (5)Dr. Gordon Rick

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Gordon Marvin Rick Dds, Ms 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 January 15, 2014 through January 15, 2026.

Opt-Out Effective DateJanuary 15, 2014

Opt-Out In Effect ThroughJanuary 15, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92122 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.