MARK R GORDON (MD) – Cardiovascular Disease Physician, NPI 1982652939

MARK R GORDON (MD) is a healthcare provider. based in Sonora, California. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. MD2020-0673 (NM). The NPI Number for MARK R GORDON (MD) is 1982652939

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
MARK R GORDON (MD)
NPI
1982652939
Phone
(209) 536-5000
Address
1000 Greenley Rd
Enumeration Date
4 May 2006
Last Update Date
27 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
4064963600
Graduation Year
1989 (37 years ago)
PAC ID
1153330808
Group Practice PAC ID
2466633102
Professional Enrollment ID
I20250904004138
Address ID
MT597011506BU435XXSTXX407
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness85
Years active:20State licenses:5Digital endpointsOther names

3,010 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CA

Provider Addresses for MARK R GORDON (MD)

  • 1000 Greenley Rd

    Sonora, CA 953705200

    Phone: (209) 536-5000

    Type: Location

  • 2870 WHIPTAIL LOOP STE 201

    CARLSBAD, CA 920106766

    Phone: (667) 243-5377

    Type: Location

  • Sioux Falls Post Office, 320, South 2nd Avenue, Downtown, Sioux Falls, Sioux Falls Township, Minnehaha County, South Dakota, 57104, United States

    SIOUX FALLS, SD 571175009

    Phone: (605) 977-5000

    Fax: (605) 977-5377

    Type: Mailing

  • 4520, West 69th Street, Sioux Falls, Lincoln County, South Dakota, 57108, United States

    NORTH CENTRAL HEART INSTITUTE

    SIOUX FALLS, SD 57108

    Phone: (605) 977-5000

    Fax: (605) 977-5377

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $209.

Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.

Last reported payment date: 2024-01-10 • Largest payer in this snapshot: Actelion Pharmaceuticals US, Inc. ($144).

Total Amount

$209

General + Research + Ownership

Payments

6

Total payment records

General Amount

$209

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-10

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: 2025-09-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250716000862ICardiovascular Disease (Cardiology)CATBD
I20250904004138ICardiovascular Disease (Cardiology)MTTBD

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
J2785Injection, regadenoson, 0.1 mg30476$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report248239$0
A9500Technetium tc-99m sestamibi, diagnostic, per study dose17589$0
99203New patient office or other outpatient visit, 30-44 minutes174174$0
99213Established patient office or other outpatient visit, 20-29 minutes158128$0
View full utilization report →

Insurance plans in this area (ZIP 95370)

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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: 2466633102View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineMT
O B S T E T R I C S/ G Y N E C O L O G YMT
-WA
Emergency MedicineTN
U R O L O G YSC
-MT
Radiation OncologyWY
Orthopedic SurgeryCA
Emergency MedicineMT
Nurse PractitionerMT

Reviews

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Frequently asked questions

Can I verify MARK R GORDON (MD) with an NPI only?
You can start verification with NPI 1982652939 for MARK R GORDON (MD), then check state licensing separately.
Does the file indicate MARK R GORDON (MD) is practicing under active NPI?
Directory data currently reports MARK R GORDON (MD) as active.
What taxonomy line describes MARK R GORDON (MD)?
For research purposes, treat MARK R GORDON (MD) as Cardiovascular Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MARK R GORDON (MD) on a map?
Expect Sonora, California as a primary anchor for MARK R GORDON (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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