MICHAEL K GORDON (MD) – Vascular & Interventional Radiology Physician, NPI 1023248648

MICHAEL K GORDON (MD) is a healthcare provider. based in Lakeland, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. DR.005482 (CO). The NPI Number for MICHAEL K GORDON (MD) is 1023248648

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL K GORDON (MD)
NPI
1023248648
Phone
(863) 688-2334
Address
2115 CRYSTAL GROVE DR
Enumeration Date
16 July 2009
Last Update Date
19 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
8636882334
Graduation Year
2009 (17 years ago)
PAC ID
1557675501
Group Practice PAC ID
2264422294
Professional Enrollment ID
I20171009003025
Address ID
FL338054542LA1305XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:16State licenses:2Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

Provider Addresses for MICHAEL K GORDON (MD)

  • 2115 CRYSTAL GROVE DR

    LAKELAND, FL 338016875

    Phone: (863) 688-2334

    Fax: (863) 577-0303

    Type: Mailing

  • 2125, Crystal Grove Drive, Lakeland, Polk County, Florida, 33801, United States

    LAKELAND, FL 338016875

    Phone: (863) 688-2334

    Fax: (863) 577-0303

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 114 Open Payments records for all available years, with a total value of $20,534.

Total Amount is formed as General ($20,534) + Research ($0) + Ownership ($0) = $20,534.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AngioDynamics, Inc. ($15,030).

Total Amount

$20,534

General + Research + Ownership

Payments

114

Total payment records

General Amount

$20,534

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2017-10-09

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
I20150804004558IDiagnostic RadiologyCOTBD
I20171009003025IDiagnostic RadiologyFLTBD

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
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes117105$0
76937Ultrasonic guidance for blood vessel access9885$0
99153Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes5822$0
77001Fluoroscopic guidance for insertion or removal of central vein access device4442$0
93925Ultrasound of leg arteries or artery grafts2020$0
View full utilization report →

Insurance plans in this area (ZIP 33801)

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Provider's Procedures

MICHAEL K GORDON (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCO74177CT scan of abdomen and pelvis with contrast9888
DIAGNOSTIC RADIOLOGYCO76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2020

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: 2264422294View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyAL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Internal Medicine, Cardiovascular Disease (Cardiology)FL
Nurse PractitionerFL
Nurse PractitionerFL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyFL

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Frequently asked questions

How is MICHAEL K GORDON (MD) identified in CMS data?
CMS-hosted NPPES data lists MICHAEL K GORDON (MD) with NPI 1023248648.
Can I rely on MICHAEL K GORDON (MD) being an active provider?
As of the registry snapshot, MICHAEL K GORDON (MD) is marked active.
What healthcare role does MICHAEL K GORDON (MD) hold?
Scheduling teams often label MICHAEL K GORDON (MD) under Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is MICHAEL K GORDON (MD) based?
MICHAEL K GORDON (MD) is tied to Lakeland, Florida in the data we show; additional addresses may exist on the full record.
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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