BRENT MCNAIRY GORDON (MD) – Pediatric Cardiology Physician, NPI 1669480083
Pediatric Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,386 PEDIATRIC MEDICINE in CA
Provider Addresses for BRENT MCNAIRY GORDON (MD)
11234 Anderson St Rm 4433
Loma Linda, CA 923542804
Phone: (909) 558-4711
Fax: (909) 558-0311
Type: Location
3020 CHILDRENS WAY # MC5003
SAN DIEGO, CA 921234223
Phone: (858) 309-6300
Type: Mailing
3020 CHILDRENS WAY
SAN DIEGO, CA 921234223
Phone: (858) 966-5855
Type: Location
Loma Linda University Medical Center, 11234, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States
RM 4433
LOMA LINDA, CA 923542804
Phone: (909) 558-4711
Fax: (909) 558-0311
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 89 Open Payments records for all available years, with a total value of $60,362.
Total Amount is formed as General ($60,362) + Research ($0) + Ownership ($0) = $60,362.
Last reported payment date: 2024-12-25 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($27,112).
Total Amount
$60,362
General + Research + Ownership
Payments
89
Total payment records
General Amount
$60,362
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $27,112 |
| Merit Medical Systems Inc | $24,515 |
| Abbott Laboratories | $5,910 |
| Medtronic, Inc. | $2,506 |
| Cook Medical LLC | $141 |
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: 2005-06-14
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 |
|---|---|---|---|---|
| I20050614000862 | I | Pediatric Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92354)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | CA | |
| - | CA | |
| Infectious Disease, Pediatric Medicine | CA | |
| - | CA | |
| Infectious Disease, Pediatric Medicine | CA | |
| O T O L A R Y N G O L O G Y | FL | |
| Pediatric Medicine | CA | |
| Hematology/Oncology, Pediatric Medicine | CA | |
| O P H T H A L M O L O G Y | CT | |
| Orthopedic Surgery | CA |
Reviews
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