JOHN B GORDON (M.D.) – Interventional Cardiology Physician, NPI 1962483099

JOHN B GORDON (M.D.) is a healthcare provider. based in San diego, California. specializing in Interventional Cardiology Physician. They hold the professional credentials M.D.. They hold a License No. C42631 (CA). The NPI Number for JOHN B GORDON (M.D.) is 1962483099

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
JOHN B GORDON (M.D.)
NPI
1962483099
Phone
(858) 244-6800
Address
3131 BERGER AVE
Enumeration Date
7 November 2005
Last Update Date
3 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Secondary Phone
8582446865
Graduation Year
1978 (48 years ago)
PAC ID
4981701950
Group Practice PAC ID
8628045986
Professional Enrollment ID
I20080603000438
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN B GORDON (M.D.)

  • 3131, Berger Avenue, Serra Mesa, San Diego, San Diego County, California, 92123, United States

    SAN DIEGO, CA 921234233

    Phone: (858) 244-6800

    Fax: (858) 244-6909

    Type: Mailing

  • 3131 BERGER AVE STE 200

    SAN DIEGO, CA 921234203

    Phone: (858) 244-6865

    Fax: (858) 244-6909

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $1,693.

Total Amount is formed as General ($1,693) + Research ($0) + Ownership ($0) = $1,693.

Last reported payment date: 2024-12-28 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($680).

Total Amount

$1,693

General + Research + Ownership

Payments

28

Total payment records

General Amount

$1,693

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-28

Latest reported date

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: 2008-06-03

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080603000438ICardiovascular Disease (Cardiology)CATBD

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 minutes231184$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report177169$0
99213Established patient office or other outpatient visit, 20-29 minutes5347$0
99442Telephone medical discussion with physician, 11-20 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 92123)

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Provider's Procedures

JOHN B GORDON (M.D.) performs procedures in Interventional Cardiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)CA92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin1813

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: 8628045986View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)CA
Cardiovascular Disease (Cardiology)CA
Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal Medicine, Interventional CardiologyCA
Internal Medicine, Cardiovascular Disease (Cardiology)CA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)CA
Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Interventional CardiologyCA
Internal Medicine, Cardiovascular Disease (Cardiology)CA
Interventional CardiologyCA
Cardiovascular Disease (Cardiology), Internal MedicineCA

Reviews

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Frequently asked questions

Can I cross-check JOHN B GORDON (M.D.) using NPI 1962483099?
NPI 1962483099 belongs to JOHN B GORDON (M.D.); compare other details if you need extra assurance.
Is JOHN B GORDON (M.D.) shown as active in public data?
Registry records indicate JOHN B GORDON (M.D.) maintains an active NPI.
What expertise is attributed to JOHN B GORDON (M.D.)?
JOHN B GORDON (M.D.)'s specialty line reads Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Is JOHN B GORDON (M.D.) associated with San Diego?
Public fields place JOHN B GORDON (M.D.) around San Diego, California. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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