MS. TARA ANN GORDON P.A.
NPI 1962552661
Physician Assistant in Flagstaff, AZ

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
77.01/100
CMS Quality Rating
107 E OAK AVE, FLAGSTAFF, AZ 86001(928) 779-7880(928) 779-7895 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Tara Ann Gordon P.a. NPPES

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

MS. TARA ANN GORDON P.A. (NPI 1962552661) is an individual physician assistant in Flagstaff, Arizona, licensed in Arizona (3598) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1962552661
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. TARA ANN GORDONCredential: P.A.
Location Address107 E OAK AVEFlagstaff, AZ 86001-1818
Mailing Address1200 N Beaver StFlagstaff, AZ 86001-3118 · (928) 213-6235 · Fax (928) 213-6292
Fax(928) 779-7895
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 12, 2007
Last NPPES UpdateMay 6, 2021
NPPES CertifiedMay 6, 2021
NPI 1962552661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AZ · 3598
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.

107 E OAK AVE, Flagstaff, AZ 86001

Accepted 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

Ms. Tara Ann Gordon P.a. 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 ID7012011315
PECOS Enrollment IDI20070326000541
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 2

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.

Established patient office or other outpatient visit, 20-29 minutes 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.
28 services23 patients
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236
This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

77.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.66
Promoting Interoperability100
Improvement Activities40
Cost63.71

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Medical)
107 E OAK AVE, SUITE 202
FLAGSTAFF, AZ 86001
Internal Medicine
107 E OAK AVE, SUITE 202
FLAGSTAFF, AZ 86001
Internal Medicine (Rheumatology)
107 E OAK AVE, SUITE 202
FLAGSTAFF, AZ 86001
Nurse Practitioner (Family)
107 E OAK AVE, SUITE 201
FLAGSTAFF, AZ 86001
Nurse Practitioner (Family)
107 E OAK AVE, SUITE 201
FLAGSTAFF, AZ 86001
Nurse Practitioner (Family)
107 E OAK AVE, SUITE 201
FLAGSTAFF, AZ 86001
Internal Medicine
107 E OAK AVE, SUITE 201
FLAGSTAFF, AZ 86001
Family Medicine
107 E OAK AVE, SUITE 201
FLAGSTAFF, AZ 86001

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 Tara Gordon's NPI number?

The NPI number for Tara Gordon is 1962552661. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Tara Gordon located?

Tara Gordon practices at 107 E Oak Ave, Flagstaff, AZ 86001. The listed phone number is (928) 779-7880.

What is Tara Gordon's specialty?

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

Is Tara Gordon enrolled in Medicare?

Yes. Tara 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.

What insurance does Tara Gordon accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Tara 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 Tara Gordon was last updated on May 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.