DR. JAMES M GORDON M.D.
NPI 1780662320
Internal Medicine - Gastroenterology in Peoria, AZ

Q: What is James Gordon's NPI number?

The NPI number for James Gordon is 1780662320. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Q: What is James Gordon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for James Gordon was last updated on November 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment

87.81/100

CMS Quality Rating

13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381(623) 876-3900(623) 876-6965 Get Directions Write a Review

NPPES record last updated: November 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. James M Gordon M.d. NPPES

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

DR. JAMES M GORDON M.D. (NPI 1780662320) is an individual gastroenterology provider in Peoria, Arizona, licensed in Arizona (36171) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1780662320

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. JAMES M GORDONCredential: M.D.

Location Address13640 N PLAZA DEL RIO BLVDPeoria, AZ 85381-4846

Mailing Address14416 W Meeker Blvd, Suite 201Sun City West, AZ 85375-5284 · (623) 583-5273 · Fax (623) 583-5117

Phone(623) 876-3900

Fax(623) 876-6965

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateJanuary 4, 2006

Last NPPES UpdateNovember 20, 2009

✔ NPI 1780662320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in AZ · 36171

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedSpecialistTaxonomy 174400000X · License 36171 (AZ)

13640 N PLAZA DEL RIO BLVD, Peoria, AZ 85381

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Other Identifiers 4

Medicare UPING34803VA

Medicaid211510AZ

Medicare PIN120748AZ

Medicare PIN120749AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.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. James M Gordon M.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 ID8628170636

PECOS Enrollment IDI20070222000144

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 13

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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

257 services256 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

206 services204 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

175 services111 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

157 services152 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

136 services129 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

103 services86 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

64 services64 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

39 services38 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

23 services23 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

22 services21 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

17 services15 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services16 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85381 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

87.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Cost

61.22

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.

CHRISTINE M LANGSTON FNP-C

Nurse Practitioner (Family)

13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381

Maricopa County (623) 876-3800

OLIVER J HARPER MD

Family Medicine

13640 N PLAZA DEL RIO BLVD, STE 210
PEORIA, AZ 85381

Maricopa County (623) 876-3830

TESS KISLING APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381

Maricopa County (623) 876-8420

BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC

Durable Medical Equipment & Medical Supplies

13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381

Maricopa County (623) 876-3800

DR. SARAH ANN PAYNE D.O.

Family Medicine (Geriatric Medicine)

13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381

Maricopa County (623) 876-3800

MISS GERA R BARNARD MSN, FNP-C

Nurse Practitioner (Family)

13640 N PLAZA DEL RIO BLVD, SUITE 350
PEORIA, AZ 85381

Maricopa County (623) 876-3800

CHRISTINE EDBERG M.D.

Psychiatry & Neurology (Psychiatry)

13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381

Maricopa County (623) 876-3800

ANUPAMA K MATHEW M.D.

Internal Medicine (Gastroenterology)

13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381

Maricopa County (623) 876-3840

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 James Gordon's NPI number?

The NPI number for James Gordon is 1780662320. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is James Gordon located?

James Gordon practices at 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381. The listed phone number is (623) 876-3900.

What is James Gordon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is James Gordon enrolled in Medicare?

Yes. James 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.

What insurance does James Gordon accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list James 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 James Gordon was last updated on November 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.