JESSE GORDON D.O.
NPI 1891923595
Family Medicine in Pittsburgh, PA

Q: What is Jesse Gordon's NPI number?

The NPI number for Jesse Gordon is 1891923595. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Q: What is Jesse Gordon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Gordon was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 01, 2009PECOS EnrolledAccepts Medicare Assignment

127 ANDERSON ST STE 101, PITTSBURGH, PA 15212(412) 322-4151(844) 389-1405 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 14, 2021, Mar 17, 2018 (2 updates tracked since 2018).

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About Jesse Gordon D.o. NPPES

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

JESSE GORDON D.O. (NPI 1891923595) is an individual family medicine provider in Pittsburgh, Pennsylvania, licensed in Texas (R3519) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2009).

NPPES Registry Identity

NPI1891923595

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJESSE GORDONCredential: D.O.

Location Address127 ANDERSON ST STE 101Pittsburgh, PA 15212-5803

Mailing Address127 Anderson St Ste 101Pittsburgh, PA 15212-5803 · (412) 322-4151 · Fax (844) 389-1405

Phone(412) 322-4151

Fax(844) 389-1405

Sole ProprietorNo

Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2009

Enumeration DateJuly 1, 2009

Last NPPES UpdateJanuary 14, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2021

✔ NPI 1891923595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TX · R3519✔ Licensed in CA · 20A12984

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 125056829 (IL)

127 ANDERSON ST STE 101, Pittsburgh, PA 15212

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Secondary Practice Location 1

Location 12000 O StSacramento, CA 95811-5224 · Phone (773) 241-0077

Other Identifiers 1

Medicaid102936677PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jesse Gordon D.o. 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 ID7012148752

PECOS Enrollment IDI20201008001832

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 Jesse Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Outreach Wellness Center

Same address

Internal Medicine

127 ANDERSON ST
Pittsburgh, PA 15212

Reassigned Medicare billing, Pennsylvania enrollment
45 clinicians in this Medicare group

NPI 1063804136 (412) 608-8313

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 15212 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 9

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

MR. BRIAN CHARLES O'CONNOR CRNP

Nurse Practitioner (Family)