MR. JOHN DAVID GORDON PAC
NPI 1831158351
Physician Assistant in Corning, NY

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
88 E TIOGA AVE STE 102, 88 TIOGA AVENUE, STE 102, CORNING, NY 14830(607) 684-6115(607) 684-6120 Get Directions Write a Review

NPPES record last updated: March 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. John David Gordon Pac NPPES

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

MR. JOHN DAVID GORDON PAC (NPI 1831158351) is an individual physician assistant in Corning, New York, licensed in New York (004758) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Arnot Ogden Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1831158351
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JOHN DAVID GORDONCredential: PAC
Location Address88 E TIOGA AVE STE 102, 88 TIOGA AVENUE, STE 102Corning, NY 14830-2858
Mailing Address88 E Tioga Ave Ste 102, Smith Allergy & Asthma Of Cny PllcCorning, NY 14830-2858 · (607) 684-6115 · Fax (607) 684-6120
Fax(607) 684-6120
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMarch 22, 2006
Last NPPES UpdateMarch 16, 2016
NPI 1831158351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NY · 004758 Licensed in PA · MA051642
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

88 E TIOGA AVE STE 102, Corning, NY 14830

Other Identifiers 6

OtherJ400278137NY · Medicare Ptan
Medicare PIN078956N91PA
OtherCC9269PA · Rr Medicare Group
OtherP00177089PA · Rr Medicare Pin
OtherGU040061PA · Medicare Group
Medicare UPINR83702

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

Mr. John David Gordon Pac 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 ID7315923034
PECOS Enrollment IDI20160223001727
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.

Hospital Affiliations CMS Care Compare

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

Arnot Ogden Medical Center

Acute Care Hospitals · Elmira, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330090
Location600 Roe AvenueElmira, NY 14905 · Chemung County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14830 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
9%91 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers14 claims14 services$19.59 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims12 services$39.02 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers20 claims20 services$7.00 avg. paid by Medicare
Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin J1575
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier12 claims9,000 services$12.30 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
7 suppliers33 claims9,118 services$0.03 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
3 suppliers12 claims960 services$0.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
88 E TIOGA AVE STE 102
CORNING, NY 14830

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 John Gordon's NPI number?

The NPI number for John Gordon is 1831158351. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is John Gordon located?

John Gordon practices at 88 E Tioga Ave Ste 102 88 Tioga Avenue, Ste 102, Corning, NY 14830. The listed phone number is (607) 684-6115.

What is John Gordon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is John Gordon enrolled in Medicare?

Yes. John 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 John Gordon affiliated with any hospitals?

According to CMS data, John Gordon is affiliated with Arnot Ogden Medical Center.

When was this NPI record last updated?

The NPPES record for John Gordon was last updated on March 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.