OTIS T GORDON M.D.
NPI 1851355218
Internal Medicine - Gastroenterology in Little Rock, AR

Q: What is Otis Gordon's NPI number?

The NPI number for Otis Gordon is 1851355218. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Q: What is Otis 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 Otis Gordon was last updated on July 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment

415 N UNIVERSITY AVE, LITTLE ROCK, AR 72205(501) 666-0249(501) 666-4340 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Otis T Gordon M.d. NPPES

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

OTIS T GORDON M.D. (NPI 1851355218) is an individual gastroenterology provider in Little Rock, Arkansas, licensed in Arkansas (E-4082) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (1999).

NPPES Registry Identity

NPI1851355218

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameOTIS T GORDONCredential: M.D.

Location Address415 N UNIVERSITY AVELittle Rock, AR 72205-3108

Mailing Address415 N University AveLittle Rock, AR 72205-3108 · (501) 666-0249 · Fax (501) 666-4340

Phone(501) 666-0249

Fax(501) 666-4340

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 1999

Enumeration DateApril 13, 2006

Last NPPES UpdateJuly 21, 2025

✔ NPI 1851355218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in AR · E-4082✔ Licensed in AR · E4082

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.

415 N UNIVERSITY AVE, Little Rock, AR 72205

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Other Identifiers 1

Other5N145AR · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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

Otis T 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 ID2466407580

PECOS Enrollment IDI20050413001272

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 11

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.

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.

113 services113 patients

Destruction of polyp or growth of large bowel using a flexible endoscope 45388

This procedure involves the removal of a polyp or growth in the large bowel. A flexible endoscope, a thin tube with a camera, is inserted through the rectum to visualize and remove the growth. This helps maintain bowel health and prevent complications.

78 services78 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.

68 services65 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.

52 services51 patients

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.

48 services48 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.

31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

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Other Providers at the Same Location NPPES 6

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

DR. JAMES LYNN DAVIS MD

Internal Medicine (Cardiovascular Disease)