DR. WAYNE GORDON (D.C.) – Chiropractor, NPI 1003952573

DR. WAYNE GORDON (D.C.) is a healthcare provider. based in Ponte vedra beach, Florida. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. CHIR008143 (GA). The NPI Number for DR. WAYNE GORDON (D.C.) is 1003952573

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. WAYNE GORDON (D.C.)
NPI
1003952573
Phone
(904) 418-3937
Address
228 PONTE VEDRA PARK DR
Enumeration Date
30 January 2007
Last Update Date
26 January 2017

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE
Secondary Phone
9044183937
Graduation Year
2006 (20 years ago)
PAC ID
8820192412
Professional Enrollment ID
I20170322001503
Address ID
FL320826610PO228XXDRXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,472 CHIROPRACTIC in FL

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Provider Addresses for DR. WAYNE GORDON (D.C.)

  • 228, Ponte Vedra Park Drive, Palm Valley, Ponte Vedra Beach, Saint Johns County, Florida, 32082, United States

    SUITE 800

    PONTE VEDRA BEACH, FL 320826613

    Phone: (904) 418-3937

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-03-22

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
I20170322001503IChiropracticFLTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions1,267108$0
98940Chiropractic manipulative treatment, 1-2 spinal regions15829$0
View full utilization report →

Insurance plans in this area (ZIP 32082)

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Reviews

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Frequently asked questions

Is DR. WAYNE GORDON (D.C.) listed with a National Provider Identifier?
Yes — DR. WAYNE GORDON (D.C.) has NPI 1003952573 on file in the registry.
Is DR. WAYNE GORDON (D.C.) shown as active in public data?
Registry records indicate DR. WAYNE GORDON (D.C.) maintains an active NPI.
What area of care is associated with DR. WAYNE GORDON (D.C.)?
DR. WAYNE GORDON (D.C.)'s record emphasizes Chiropractor. Clinical services aligned with this taxonomy classification.
Is DR. WAYNE GORDON (D.C.) associated with Ponte Vedra Beach?
Public fields place DR. WAYNE GORDON (D.C.) around Ponte Vedra Beach, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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