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

Q: 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.

Q: What is Mark Gordon's specialty?

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

Q: 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 13 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.

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: August 09, 2026.

On this page

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 Arizona.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

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.

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

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

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

Quality

59.66

Promoting Interoperability

100

Improvement Activities

Cost

63.71

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.

What insurance does Mark Gordon accept?

Health plans from Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Montana 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.

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 13 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.