1. Home
  2. Directory
  3. District Of Columbia
  4. Washington
  5. Psychologist
  6. NPI Profile

SAMUEL ANTONIO GORDON PH.D.
NPI 1689684888
Psychologist - Clinical in Washington, DC

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
102 IRVING ST NW, WASHINGTON, DC 20010(202) 877-1000(202) 291-5366 Get Directions Write a Review

NPPES record last updated: December 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Antonio Gordon Ph.d. NPPES

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

SAMUEL ANTONIO GORDON PH.D. (NPI 1689684888) is an individual clinical provider in Washington, District Of Columbia, licensed in District Of Columbia (PSY 1528) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Medstar Good Samaritan Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1689684888
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameSAMUEL ANTONIO GORDONCredential: PH.D.
Location Address102 IRVING ST NWWashington, DC 20010-2921
Mailing Address102 Irving St NwWashington, DC 20010-2921 · (202) 877-1000 · Fax (202) 291-5366
Phone(202) 877-1000
Fax(202) 291-5366
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 9, 2006
Last NPPES UpdateDecember 11, 2007
✔ NPI 1689684888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in DC · PSY 1528
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
102 IRVING ST NW, Washington, DC 20010
Open in Google Maps ↗

Other Identifiers 9

Other5681292Aetna Non Hmo
Other103645Kaiser
Medicare PIN009059M53DC
Other247626Mamsi
Other512762Ncppo
OtherSMD 3839272Aetna Hmo
OtherH360-0004Bs Nca
OtherDC 2528584Aetna Hmo
Medicare UPINS29735

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

Samuel Antonio Gordon Ph.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 ID4385892389
PECOS Enrollment IDI20120917000729, I20130318000223
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.

Areas of Expertise CMS Part B claims 3

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.

Group psychotherapy 90853
Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.
338 services11 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
303 services27 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
56 services14 patients

Hospital Affiliations CMS Care Compare

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

Medstar Good Samaritan Hospital

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210056
Location5601 Loch Raven BoulevardBaltimore, MD 21239 · Baltimore City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

JESSICA Z TAYLOR PTA
Physical Therapy Assistant
102 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-1016
DR. OSCAR EMMETT DIMANT MD
Physical Medicine & Rehabilitation
102 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-1650
REBECCA CUNNINGHAM
Physical Therapist
102 IRVING ST NW, OUTPATIENT PT NEUROREHABILITATION
WASHINGTON, DC 20010
District of Columbia (202) 719-0799
RACHEL EVA SILVERMAN
Dietitian, Registered
102 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-1101
ELIZABETH ANNE RAOOF MD
Student in an Organized Health Care Education/Training Program
102 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-1587
SKYE ALEXIS NEWSOME
Student in an Organized Health Care Education/Training Program
102 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-1000
ANDREA DURHAM
Specialist/Technologist (Athletic Trainer)
102 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-1606
ABIGAIL MARIE KROLL
Physical Therapist
102 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (703) 552-5996

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 Samuel Gordon's NPI number?

The NPI number for Samuel Gordon is 1689684888. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Samuel Gordon located?

Samuel Gordon practices at 102 Irving St NW, Washington, DC 20010. The listed phone number is (202) 877-1000.

What is Samuel Gordon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Samuel Gordon enrolled in Medicare?

Yes. Samuel 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.

Is Samuel Gordon affiliated with any hospitals?

According to CMS data, Samuel Gordon is affiliated with Medstar Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Gordon was last updated on December 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.