CHARLES R GORDON MD PA
NPI 1982717955
Neurological Surgery in Tyler, TX
About Charles R Gordon Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES R GORDON MD PA (NPI 1982717955), doing business as Precision Spine Care, is a healthcare organization registered as a neurological surgery in Tyler, Texas and active in the NPI registry since August 2006. The organization holds an CLIA Accreditation certificate valid through April 17, 2028 and lists Charles R Gordon, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charles R Gordon Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
44Medicare enrollment records show 44 clinicians reassign Medicare billing to Charles R Gordon MD PA, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 44Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 45D1070996
Precision Spine Care · Tyler, TXFrequently 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 Charles R Gordon MD PA's NPI number?
The NPI number for Charles R Gordon MD PA is 1982717955. It was assigned to this organization in the NPPES registry on August 16, 2006. The provider is doing business as Precision Spine Care.
Where is Charles R Gordon MD PA located?
Charles R Gordon MD PA is located at 2737 S Broadway Ave, Tyler, TX 75701. The listed phone number is (903) 592-6000.
What is Charles R Gordon MD PA's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is Charles R Gordon MD PA enrolled in Medicare?
Yes. Charles R Gordon MD PA is registered in the Medicare PECOS enrollment system.
When is Charles R Gordon MD PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Charles R Gordon MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 9 Medicare specialties reassign their Medicare billing to Charles R Gordon MD PA. A 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 the clinician's services. The largest specialties are Nurse Practitioner (21), Pain Management (5) and Physical Medicine and Rehabilitation (5). Of these, 15 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Charles R Gordon MD PA hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 45D1070996) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Charles R Gordon MD PA accept?
Health plans from Molina Healthcare list Charles R Gordon MD PA 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 Charles R Gordon MD PA was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.
# Charles R Gordon Md Pa · NPI 1982717955
Neurological Surgery organization in Tyler, Texas. Organization record, active in the CMS NPPES registry since August 16, 2006.
## Identity
- **NPI:** 1982717955 (Entity type: Organization)
- **Enumerated:** August 16, 2006
- **Primary specialty:** Neurological Surgery · taxonomy 207T00000X
- **Also known as:** Precision Spine Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Charles Gordon, PRESIDENT
## Practice location
- **Address:** 2737 S BROADWAY AVE, Tyler, TX 75701-5445
- **Phone:** (903) 592-6000 · **Fax:** (903) 595-1592
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 44 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Pain Management (5), Physical Medicine and Rehabilitation (5); 15 practice at this address and 22 within 10 miles; [full list](https://npiprofile.com/npi/1982717955/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2026
- **Other identifiers:** Other 0023KV
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1982717955) · Data from the CMS NPPES public registry.