SCOTT GORDON (MD) – Orthopaedic Surgery Physician, NPI 1104894112

SCOTT GORDON (MD) is a healthcare provider. based in Kissimmee, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. ME0050722 (FL). The NPI Number for SCOTT GORDON (MD) is 1104894112

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT GORDON (MD)
NPI
1104894112
Phone
(407) 846-6004
Address
604 OAK COMMONS BLVD
Enumeration Date
8 March 2006
Last Update Date
29 December 2022

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
4072002700
Graduation Year
1982 (44 years ago)
PAC ID
3870620677
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20100428000130
Address ID
FL327517102MA2600XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

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Provider Addresses for SCOTT GORDON (MD)

  • 604, Oak Commons Boulevard, Kissimmee, Osceola County, Florida, 34741, United States

    KISSIMMEE, FL 34741

    Phone: (407) 846-6004

    Fax: (407) 846-1330

    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 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Bioventus LLC ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Bioventus LLC$26
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: 2010-04-28

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
I20100428000130IOrthopedic SurgeryFLTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg1,120141$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,110140$0
20550Injection into tendon or ligament13489$0
99213Established patient office or other outpatient visit, 20-29 minutes11188$0
20600Aspiration and/or injection of fluid from small joint6848$0
View full utilization report →

Insurance plans in this area (ZIP 34741)

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Provider's Procedures

SCOTT GORDON (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYFL73110X-ray of wrist, minimum of 3 views8563
ORTHOPEDIC SURGERYFL73140X-ray of fingers, minimum of 2 views1413

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: 0749186153View full group profile
NameSpecialtyState
Physician AssistantFL
N E U R O L O G YFL
General SurgeryFL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists)FL
O B S T E T R I C S/ G Y N E C O L O G YMI
Physician AssistantFL

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Frequently asked questions

How do I look up SCOTT GORDON (MD) by NPI?
Use NPI 1104894112 when you need to reference SCOTT GORDON (MD) in forms, claims, or directories.
Is SCOTT GORDON (MD) currently active in the NPI registry?
CMS-published data lists SCOTT GORDON (MD) as an active registrant.
What does SCOTT GORDON (MD) treat or focus on?
Patients typically see SCOTT GORDON (MD) under the specialty Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place SCOTT GORDON (MD)?
The snapshot lists Kissimmee, Florida for SCOTT GORDON (MD); download NPPES for the complete set.
Is SCOTT GORDON (MD) a real provider?
This page reflects official NPPES data for NPI 1104894112. Always confirm identity and privileges with the practice and licensing boards.

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