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MR. GORDON WOTTON MD
NPI 1952358012
Internal Medicine in Atlanta, GA

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
63.65/100
CMS Quality Rating
975 JOHNSON FY RD NE, SUITE 400, ATLANTA, GA 30342(404) 843-4000 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Gordon Wotton Md NPPES

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

MR. GORDON WOTTON MD (NPI 1952358012) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (051861) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Mercer University School Of Medicine (2000).

NPPES Registry Identity

NPI1952358012
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. GORDON WOTTONCredential: MD
Location Address975 JOHNSON FY RD NE, SUITE 400Atlanta, GA 30342-1619
Mailing Address975 Johnson Fy Rd Ne, Suite 400Atlanta, GA 30342-1619 · (404) 843-4000
Phone(404) 843-4000
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2000
Enumeration DateMay 27, 2006
Last NPPES UpdateAugust 28, 2020
NPPES CertifiedAugust 28, 2020
✔ NPI 1952358012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 051861
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
975 JOHNSON FY RD NE, Atlanta, GA 30342
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Mr. Gordon Wotton Md 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 ID2668366030
PECOS Enrollment IDI20060922000304
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 9

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
6,960 services71 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.
495 services332 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
115 services71 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
89 services76 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.
53 services53 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.
48 services48 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

63.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality62.95
Improvement Activities40
Cost46.75

Reported Quality Measures

Controlling High Blood Pressure
75%685 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
60%565 patients2/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
93%3,392 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%2,187 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 754 patients
Patients screened: 99% · 754 patients
17%24 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
59%523 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients totalRate: 0% · 856 patients
0%856 patients5/55-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 5

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
2 suppliers12 claims128 services$18.32 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
2 suppliers11 claims285 services$2.37 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
37 suppliers112 claims417 services$5.68 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
21 suppliers37 claims69 services$1.02 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
8 suppliers221 claims221 services$182.67 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 13

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

STEPHEN MESSNER MD
Pediatrics
975 JOHNSON FY RD NE, SUITE 350
ATLANTA, GA 30342
Fulton County (404) 785-3820
MARTHA DODD DNP, FNP-BC
Nurse Practitioner (Family)
975 JOHNSON FY RD NE, SUITE 350
ATLANTA, GA 30342
Fulton County (404) 785-3820
ELIZABETH BOWEN WILLIAMS NP-C
Nurse Practitioner (Family)
975 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (678) 637-8296
ANNA STAGG PHD
Psychologist
975 JOHNSON FY RD NE, SUITE 350
ATLANTA, GA 30342
Fulton County (404) 785-3820
HEATHER UNDERWOOD FNP-BC
Nurse Practitioner (Family)
975 JOHNSON FY RD NE, SUITE 350
ATLANTA, GA 30342
Fulton County (404) 785-3820
RENAE SPEER CPNP
Nurse Practitioner (Pediatrics)
975 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-3820
VIRGINIA JORDAN GREENBAUM MD
Pathology (Forensic Pathology)
975 JOHNSON FY RD NE, SUITE 350
ATLANTA, GA 30342
Fulton County (404) 785-3820
STEPHANIE EDLHUBER CPNP
Nurse Practitioner (Pediatrics)
975 JOHNSON FY RD NE, SUITE 350
ATLANTA, GA 30342
Fulton County (404) 785-3820

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 Gordon Wotton's NPI number?

The NPI number for Gordon Wotton is 1952358012. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Gordon Wotton located?

Gordon Wotton practices at 975 Johnson Fy Rd NE Suite 400, Atlanta, GA 30342. The listed phone number is (404) 843-4000.

What is Gordon Wotton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gordon Wotton enrolled in Medicare?

Yes. Gordon Wotton 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 Gordon Wotton accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Gordon Wotton 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.

Is Gordon Wotton affiliated with any hospitals?

According to CMS data, Gordon Wotton is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Gordon Wotton was last updated on August 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.