CARMELINA GORDON M.D.
NPI 1952399297
Ophthalmology - Retina Specialist in Jackson, MI
About Carmelina Gordon M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARMELINA GORDON M.D. (NPI 1952399297) is an individual retina specialist in Jackson, Michigan, licensed in Michigan (4301063145) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
Accepted 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
Carmelina 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.
Medicare Billing Reassignments
2Medicare enrollment records show Carmelina Gordon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MI 49201
- Reassigned Medicare billing, Michigan enrollment
- 9 clinicians in this Medicare group
Jackson, MI 49202
- Reassigned Medicare billing, Michigan enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 13
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MI 49202
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 Carmelina Gordon's NPI number?
The NPI number for Carmelina Gordon is 1952399297. It was assigned to this individual provider in the NPPES registry on October 11, 2005.
Where is Carmelina Gordon located?
Carmelina Gordon practices at 850 W North St Ste 100, Jackson, MI 49202. The listed phone number is (877) 852-8463.
What is Carmelina Gordon's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.
Is Carmelina Gordon enrolled in Medicare?
Yes. Carmelina 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.
Which organizations bill Medicare for Carmelina Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carmelina Gordon reassigns Medicare benefits to 2 organizations: Surgical Services Of Michigan, LLC (Jackson, MI) and Mid Michigan Eye Care Center, PC (Jackson, MI). Each 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 Carmelina Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carmelina Gordon accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Carmelina 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 Carmelina Gordon was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.