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MARK R GORDON MD
NPI 1982652939
Internal Medicine - Cardiovascular Disease in Carlsbad, CA

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
77.01/100
CMS Quality Rating
2870 WHIPTAIL LOOP STE 201, CARLSBAD, CA 92010(667) 243-5377 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mark R Gordon Md NPPES

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

MARK R GORDON MD (NPI 1982652939) is an individual cardiovascular disease provider in Carlsbad, California, licensed in California (G-168143) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St James Healthcare, and maintains a secondary practice location in Sonora.

NPPES Registry Identity

NPI1982652939
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMARK R GORDONCredential: MD
Location Address2870 WHIPTAIL LOOP STE 201Carlsbad, CA 92010-6766
Mailing Address2870 Whiptail Loop Ste 201Carlsbad, CA 92010-6766 · (760) 331-9771
Phone(667) 243-5377
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1989
Enumeration DateMay 4, 2006
Last NPPES UpdateJune 27, 2025
NPPES CertifiedJune 27, 2025
✔ NPI 1982652939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in CA · G-168143✔ Licensed in NM · MD2020-0673✔ Licensed in WY · 5823A✔ Licensed in SD · 3929✔ Licensed in OR · MD220295
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2870 WHIPTAIL LOOP STE 201, Carlsbad, CA 92010
Open in Google Maps ↗

Secondary Practice Location 1

Location 11000 Greenley RdSonora, CA 95370-5200 · Phone (209) 536-5000

Other Identifiers 12

Other0008426SD · Sd Bcbs
Other25-00667Medica Selectcare
Other165025MN · Ucare
Medicaid0549402IA
Other3929SD · Dakotacare
Medicaid331503700MN
Other33333IA · Ia Bcbs #
Other931451030123Preferred One
Other10492Healthpartners
Medicaid6002892SD
Other101T6GOMN · Mn Bcbs - Plan 91057no
Other346L9GOMN · Mn Bcbs - Plan 538r2no

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of Wyoming, Mountain Health CO-OP and more.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

Mark R Gordon 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 ID1153330808
PECOS Enrollment IDI20250716000862, I20250904004138
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 Reassignments

3

Medicare enrollment records show Mark Gordon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sonora Community Hospital
365 mi
Family Medicine
18661 HIGHWAY 120
Groveland, CA 95321
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1033100854 (California)
  • 172 clinicians in this Medicare group
NPI 1356332274 (209) 962-7121
West Park Hospital District
899 mi
Clinic/Center
424 YELLOWSTONE AVE, SUITE 120
Cody, WY 82414
  • Reassigned Medicare billing, Wyoming enrollment
  • Also billed through NPI 1366432197 (Wyoming)
  • 181 clinicians in this Medicare group
NPI 1043200041 (307) 578-2907
Scl Health Medical Group-Butte LLC
922 mi
Family Medicine
400 S CLARK ST
Butte, MT 59701
  • Reassigned Medicare billing, Montana enrollment
  • 278 clinicians in this Medicare group
NPI 1477869600 (406) 723-2500

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 8

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 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.
102 services92 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.
87 services79 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.
54 services54 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
41 services38 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

St James Healthcare

Acute Care Hospitals · Butte, MT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270017
Location400 S Clark StButte, MT 59701 · Silver Bow County
Emergency services Birthing friendly

St Vincent Healthcare

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270049
Location1233 N 30th StBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Cody Regional Health

Critical Access Hospitals · Cody, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531312
Location707 Sheridan AvenueCody, WY 82414 · Park County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92010 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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

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 Mark Gordon's NPI number?

The NPI number for Mark Gordon is 1982652939. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Mark Gordon located?

Mark Gordon practices at 2870 Whiptail Loop Ste 201, Carlsbad, CA 92010. The listed phone number is (667) 243-5377.

What is Mark Gordon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mark Gordon enrolled in Medicare?

Yes. Mark 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 Mark Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Gordon reassigns Medicare benefits to 3 organizations: Sonora Community Hospital (Groveland, CA), West Park Hospital District (Cody, WY) and Scl Health Medical Group-Butte LLC (Butte, MT). 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 Mark Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Gordon accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan and 1 other insurer list Mark 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.

Is Mark Gordon affiliated with any hospitals?

According to CMS data, Mark Gordon is affiliated with St James Healthcare, St Vincent Healthcare and Cody Regional Health.

When was this NPI record last updated?

The NPPES record for Mark Gordon was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.