DR. MARK WILLIAM GORDON (M.D.) – Surgery Physician, NPI 1467441618

DR. MARK WILLIAM GORDON (M.D.) is a healthcare provider. based in Hialeah, Florida. specializing in GENERAL SURGERY, COLORECTAL SURGERY (PROCTOLOGY). They hold the professional credentials M.D.. They hold a License No. ME13633 (FL). The NPI Number for DR. MARK WILLIAM GORDON (M.D.) is 1467441618

Main info

Male
59 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK WILLIAM GORDON (M.D.)
NPI
1467441618
Phone
(305) 822-4515
Address
7100 W 20TH AVE
Enumeration Date
20 October 2005
Last Update Date
3 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3052734641
Graduation Year
1967 (59 years ago)
PAC ID
9234234972
Group Practice PAC ID
8921091786
Professional Enrollment ID
I20080630000558
Address ID
FL331334741MI3225XAVEX305
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

2,163 GENERAL SURGERY in FL

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Provider Addresses for DR. MARK WILLIAM GORDON (M.D.)

  • 7100, West 20th Avenue, Hialeah, Miami-Dade County, Florida, 33016, United States

    #703

    HIALEAH, FL 330161897

    Phone: (305) 822-4515

    Fax: (954) 963-3453

    Type: Location

  • 2301, North University Drive, Pembroke Pines, Broward County, Florida, 33024, United States

    #203

    PEMBROKE PINES, FL 330243617

    Phone: (954) 964-1490

    Fax: (954) 963-3453

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $182.

Total Amount is formed as General ($182) + Research ($0) + Ownership ($0) = $182.

Last reported payment date: 2023-11-14 • Largest payer in this snapshot: Davol Inc. ($151).

Total Amount

$182

General + Research + Ownership

Payments

4

Total payment records

General Amount

$182

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-14

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: 2008-06-30

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
I20080630000558IGeneral 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
46221Removal of external hemorrhoids by rubber banding3218$0
46600Diagnostic exam of anus using an endoscope1917$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 33016)

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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: 8921091786View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
U R O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
Nurse PractitionerFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YVA

Reviews

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Frequently asked questions

Does DR. MARK WILLIAM GORDON (M.D.) have a public NPI I can cite?
Public records show DR. MARK WILLIAM GORDON (M.D.) under NPI 1467441618.
Is DR. MARK WILLIAM GORDON (M.D.)'s NPI status active today?
Active status means DR. MARK WILLIAM GORDON (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret DR. MARK WILLIAM GORDON (M.D.)'s specialty?
The extract shows Surgery Physician for DR. MARK WILLIAM GORDON (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. MARK WILLIAM GORDON (M.D.)?
The directory associates DR. MARK WILLIAM GORDON (M.D.) with Hialeah, Florida. Check all listed addresses for suites or satellite offices.
Who maintains DR. MARK WILLIAM GORDON (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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