DR. LEANNA LYN GORDON D.O.
NPI 1689012742
Preventive Medicine - Public Health & General Preventive Medicine in Honolulu, HI

Q: What is Leanna Gordon's NPI number?

The NPI number for Leanna Gordon is 1689012742. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Q: What is Leanna Gordon's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Q: When was this NPI record last updated?

The NPPES record for Leanna Gordon was last updated on August 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 11, 2013PECOS EnrolledAccepts Medicare Assignment

915 N KING ST, HONOLULU, HI 96817(808) 848-1438 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2024, May 1, 2023, Dec 21, 2022 and 1 more (4 updates tracked since 2019).

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About Dr. Leanna Lyn Gordon D.o. NPPES

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

DR. LEANNA LYN GORDON D.O. (NPI 1689012742) is an individual public health & general preventive medicine provider in Honolulu, Hawaii, licensed in Hawaii (DOS-1675) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1689012742

Entity TypeIndividualFemale

Primary Taxonomy2083P0901X

Provider Legal NameDR. LEANNA LYN GORDONCredential: D.O.

Location Address915 N KING STHonolulu, HI 96817-4544

Mailing Address4025 N Sheridan RdChicago, IL 60613-2010

Phone(808) 848-1438

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2013

Enumeration DateJune 11, 2013

Last NPPES UpdateAugust 22, 20244 updates tracked since enumeration

NPPES CertifiedAugust 22, 2024

✔ NPI 1689012742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0901X

License✔ Licensed in HI · DOS-1675

Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

Also ListedGeneral PracticeTaxonomy 208D00000X · License DOS-1675 (HI)

915 N KING ST, Honolulu, HI 96817

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Other Identifiers 1

Medicaid036162996IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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. Leanna Lyn Gordon D.o. 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 ID648640821

PECOS Enrollment IDI20241119002565

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 96817 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

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.

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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.

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