DR. METHUEL ANDRIANO VISHNU GORDON M.D.
NPI 1821261728
Pediatrics in Pullman, WA

Q: What is Methuel Gordon's NPI number?

The NPI number for Methuel Gordon is 1821261728. It was assigned to this individual provider in the NPPES registry on April 11, 2008.

Q: What is Methuel Gordon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Methuel Gordon was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 April 11, 2008PECOS Enrolled

1205 SE PROFESSIONAL MALL BLVD, SUITE 104, PULLMAN, WA 99163(509) 332-2605 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Methuel Andriano Vishnu Gordon M.d. NPPES

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

DR. METHUEL ANDRIANO VISHNU GORDON M.D. (NPI 1821261728) is an individual pediatrics provider in Pullman, Washington, licensed in Washington (MD60231406) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821261728

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. METHUEL ANDRIANO VISHNU GORDONCredential: M.D.

Location Address1205 SE PROFESSIONAL MALL BLVD, SUITE 104Pullman, WA 99163-5423

Mailing Address594 Se Bishop BlvdPullman, WA 99163-5542 · (509) 332-2605

Phone(509) 332-2605

Sole ProprietorNo

Enumeration DateApril 11, 2008

Last NPPES UpdateJuly 9, 2025

NPPES CertifiedJuly 9, 2025

✔ NPI 1821261728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WA · MD60231406

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1205 SE PROFESSIONAL MALL BLVD, Pullman, WA 99163

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Methuel Andriano Vishnu Gordon M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Methuel Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Public Hospital District #1-A Of Whitman County

0.5 mi

Family Medicine

835 SE BISHOP BLVD
Pullman, WA 99163

Reassigned Medicare billing, Washington and Idaho enrollments
Also billed through NPI 1366446767 (Washington)
151 clinicians in this Medicare group

NPI 1881475051 (509) 336-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99163 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEVLIN & HUBERTY PS

Obstetrics & Gynecology

1205 SE PROFESSIONAL MALL BLVD, STE 102
PULLMAN, WA 99163

Whitman County (509) 332-7511

DR. STEVEN F LARSEN D.D.S.

Dentist (General Practice)

1205 SE PROFESSIONAL MALL BLVD, SUITE #108
PULLMAN, WA 99163

Whitman County (509) 332-6015

KAMI KATE CORNWALL LMHC

Counselor (Mental Health)

1205 SE PROFESSIONAL MALL BLVD, SUITE 109
PULLMAN, WA 99163

Whitman County (509) 432-3925

DEAN FUNABIKI AND ASSOCIATES , P.S.

Psychologist

1205 SE PROFESSIONAL MALL BLVD, SUITE 113
PULLMAN, WA 99163

Whitman County (509) 334-0677

DR. HUONG TRINH M.D.

Obstetrics & Gynecology

1205 SE PROFESSIONAL MALL BLVD
PULLMAN, WA 99163

Whitman County (509) 332-7511

DR. CHARLES ARCH RICHARDS M. D.

Obstetrics & Gynecology

1205 SE PROFESSIONAL MALL BLVD
PULLMAN, WA 99163

Whitman County (509) 332-7511

MARCUS TORREY DDS PLLC

Dentist

1205 SE PROFESSIONAL MALL BLVD, SUITE 201
PULLMAN, WA 99163

Whitman County (509) 332-4711

JONATHAN B FISHER, DDS,PLLC

Dentist (General Practice)

1205 SE PROFESSIONAL MALL BLVD, SUITE 201
PULLMAN, WA 99163

Whitman County (509) 332-2366

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 Methuel Gordon's NPI number?

The NPI number for Methuel Gordon is 1821261728. It was assigned to this individual provider in the NPPES registry on April 11, 2008.

Where is Methuel Gordon located?

Methuel Gordon practices at 1205 SE Professional Mall Blvd Suite 104, Pullman, WA 99163. The listed phone number is (509) 332-2605.

What is Methuel Gordon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Methuel Gordon enrolled in Medicare?

Yes. Methuel Gordon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Methuel Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Methuel Gordon reassigns Medicare benefits to Public Hospital District #1-A Of Whitman County (Pullman, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Methuel Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Methuel Gordon accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Methuel 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 Methuel Gordon was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.