DR. SUSAN GRACE GORDON (O.D.) – Optometrist, NPI 1891767604

DR. SUSAN GRACE GORDON (O.D.) is a healthcare provider. based in Milpitas, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 7200T (CA). The NPI Number for DR. SUSAN GRACE GORDON (O.D.) is 1891767604

Main info

Female
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN GRACE GORDON (O.D.)
NPI
1891767604
Phone
(408) 263-2040
Address
1301 E CALAVERAS BLVD
Enumeration Date
6 February 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
408263204015
Graduation Year
1981 (45 years ago)
PAC ID
9234399692
Group Practice PAC ID
6406013143
Professional Enrollment ID
I20120327000681
Address ID
CA950355543MI1301XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,935 OPTOMETRY in CA

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Provider Addresses for DR. SUSAN GRACE GORDON (O.D.)

  • 1301, East Calaveras Boulevard, Milpitas, Santa Clara County, California, 95035, United States

    MILPITAS, CA 950355543

    Phone: (408) 263-2040

    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 5 Open Payments records for all available years, with a total value of $593.

Total Amount is formed as General ($593) + Research ($0) + Ownership ($0) = $593.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($343).

Total Amount

$593

General + Research + Ownership

Payments

5

Total payment records

General Amount

$593

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2012-03-27

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120327000681IOptometryCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7571$0
92250Photography of the retina3434$0
99213Established patient office or other outpatient visit, 20-29 minutes2519$0
92133Imaging of optic nerve2121$0
92134Imaging of retina1211$0
View full utilization report →

Insurance plans in this area (ZIP 95035)

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Provider's Procedures

DR. SUSAN GRACE GORDON (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYCA92134Diagnostic imaging of retina1211
OPTOMETRYCA92083Measurement of field of vision during daylight conditions1413

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406013143View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
-CA
O P T O M E T R YCA

Reviews

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Frequently asked questions

How do I look up DR. SUSAN GRACE GORDON (O.D.) by NPI?
Use NPI 1891767604 when you need to reference DR. SUSAN GRACE GORDON (O.D.) in forms, claims, or directories.
Is DR. SUSAN GRACE GORDON (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. SUSAN GRACE GORDON (O.D.) treat or focus on?
Patients typically see DR. SUSAN GRACE GORDON (O.D.) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for DR. SUSAN GRACE GORDON (O.D.)?
We surface Milpitas, California for DR. SUSAN GRACE GORDON (O.D.) based on available NPPES addresses.
How can I contact DR. SUSAN GRACE GORDON (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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