JOELLEN GORDON (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1245356393
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for JOELLEN GORDON (PHYSICIAN ASSISTANT)
2810 W DR MLK BLVD
TAMPA, FL 336076306
Phone: (813) 877-8450
Type: Mailing
6821 W HILLSBOROUGH AVE
STE #19
TAMPA, FL 336345003
Phone: (813) 890-0705
Fax: (813) 890-0710
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $433.
Total Amount is formed as General ($433) + Research ($0) + Ownership ($0) = $433.
Last reported payment date: 2024-07-30 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($149).
Total Amount
$433
General + Research + Ownership
Payments
9
Total payment records
General Amount
$433
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-30
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2008-12-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081202000563 | I | Physician Assistant | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,182 | 259 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 100 | 19 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 84 | 84 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 22 | 19 | $0 |
| 99483 | Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | 14 | 12 | $0 |
Insurance plans in this area (ZIP 33607)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | FL | |
| Mental Health Counselor | GA | |
| Mental Health Counselor | TX | |
| Psychiatry, Nephrology, Neurology, Neuropsychiatry | GA | |
| Clinical Social Worker | FL | |
| Clinical Social Worker | FL | |
| Mental Health Counselor | GA | |
| Mental Health Counselor | GA | |
| Mental Health Counselor | MD | |
| Psychiatry, Neurology | NY |
Reviews
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