1. Home
  2. Directory
  3. Kentucky
  4. Fort Campbell
  5. Family Medicine
  6. NPI Profile

GORDON TROY PRAIRIE MD
NPI 1992776991
Family Medicine in Fort Campbell, KY

Active since January 28, 2006PECOS Enrolled
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE, FORT CAMPBELL, KY 42223(270) 798-8470 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gordon Troy Prairie Md NPPES

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

GORDON TROY PRAIRIE MD (NPI 1992776991) is an individual family medicine provider in Fort Campbell, Kentucky, licensed in Idaho (M9250) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992776991
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGORDON TROY PRAIRIECredential: MD
Location AddressBLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVEFort Campbell, KY 42223
Mailing AddressBlanchfield Army Community Hospital, 650 Joel DriveFort Campbell, KY 42223 · (270) 461-2470
Phone(270) 798-8470
Sole ProprietorNo
Enumeration DateJanuary 28, 2006
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1992776991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M9250
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X · License M9250 (ID)
BLANCHFIELD ARMY COMMUNITY HOSPITAL, Fort Campbell, KY 42223
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gordon Troy Prairie Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42223 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PATRICIA GAZZA II
Social Worker (Clinical)
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE
FORT CAMPBELL, KY 42223
Christian County (270) 798-8727
DR. ERIC WILHELM BERG III M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE
FT CAMPBELL, KY 42223
Christian County (270) 798-8372
DR. ROBERT BURROUGHS COUTANT M.D.
Allergy & Immunology
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE
FORT CAMPBELL, KY 42223
Christian County (270) 461-1562
GREGORY HERSHEY
Physician Assistant
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE
FORT CAMPBELL, KY 42223
Christian County (270) 798-8727
MS. OPAL M GALLOWAY LCSW
Social Worker (Clinical)
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8372
MARK LEON SIEBE PA-C
Family Medicine
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8727
REVA L. ROGERS
Dietitian, Registered
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE
FORT CAMPBELL, KY 42223
Christian County (270) 798-8372
MR. MICHAEL W LIPE LCSW
Social Worker (Clinical)
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE
FORT CAMPBELL, KY 42223
Christian County (270) 798-8601

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 Gordon Prairie's NPI number?

The NPI number for Gordon Prairie is 1992776991. It was assigned to this individual provider in the NPPES registry on January 28, 2006.

Where is Gordon Prairie located?

Gordon Prairie practices at Blanchfield Army Community Hospital 650 Joel Drive, Fort Campbell, KY 42223. The listed phone number is (270) 798-8470.

What is Gordon Prairie's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gordon Prairie enrolled in Medicare?

Yes. Gordon Prairie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gordon Prairie was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.