GORDON THOMAS JR. FAHEY (MD) – Specialist, NPI 1457323446
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,317 GENERAL SURGERY in CA
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Provider Addresses for GORDON THOMAS JR. FAHEY (MD)
South Fairmont Avenue, Lodi, San Joaquin County, California, 95241, United States
SUITE 100
LODI, CA 952405100
Phone: (209) 334-2010
Fax: (209) 334-0132
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $8,546.
Total Amount is formed as General ($8,546) + Research ($0) + Ownership ($0) = $8,546.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($8,486).
Total Amount
$8,546
General + Research + Ownership
Payments
14
Total payment records
General Amount
$8,546
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $8,486 |
| Stryker Corporation | $23 |
| AngioDynamics, Inc. | $22 |
| Davol Inc. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-10-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051006000690 | I | General Surgery | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 94 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 73 | 51 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 56 | 29 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 53 | 51 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 43 | 43 | $0 |
Insurance plans in this area (ZIP 95240)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| - | CA | |
| Orthopedic Surgery | CA | |
| Internal Medicine | CA | |
| Family Practice, Addiction Medicine, Emergency Medicine, Preventive Medicine | CA | |
| G A S T R O E N T E R O L O G Y | CA | |
| Nurse Practitioner | CA | |
| - | CA |
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