MR. MARK GORDON – Family Nurse Practitioner, NPI 1497183404

MR. MARK GORDON is a healthcare provider. based in Cutler bay, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11017993 (FL). The NPI Number for MR. MARK GORDON is 1497183404

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARK GORDON
NPI
1497183404
Phone
(786) 273-0728
Address
21379 SW 87TH CT
Enumeration Date
30 October 2013
Last Update Date
26 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9546136007
Graduation Year
2021 (5 years ago)
PAC ID
4880050228
Professional Enrollment ID
I20230510000827
Address ID
FL333516243LA4300XDRXX431
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:12State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MR. MARK GORDON

  • 21379 SW 87TH CT

    CUTLER BAY, FL 331897324

    Phone: (786) 273-0728

    Fax: (305) 378-0807

    Type: Mailing

  • 16938 S DIXIE HWY

    PALMETTO BAY, FL 331574354

    Phone: (305) 831-5811

    Fax: (305) 378-0807

    Type: Location

  • 4300 N UNIVERSITY DR STE A106

    LAUDERHILL, FL 333516243

    Phone: (786) 273-0728

    Fax: (954) 639-7433

    Type: Mailing

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: 2024-11-12 • Largest payer in this snapshot: ABIOMED ($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

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$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: 2023-05-10

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
I20230510000827INurse PractitionerFLTBD

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
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month540105$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month271105$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days5837$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes5837$0
View full utilization report →

Insurance plans in this area (ZIP 33189)

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Reviews

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Frequently asked questions

Is there an official ID for MR. MARK GORDON in U.S. healthcare records?
The official identifier for MR. MARK GORDON is NPI 1497183404.
Is MR. MARK GORDON still an active registrant?
MR. MARK GORDON carries an active NPI according to the public dataset.
What area of care is associated with MR. MARK GORDON?
MR. MARK GORDON's record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MR. MARK GORDON associated with Cutler Bay?
Public fields place MR. MARK GORDON around Cutler Bay, Florida. Always confirm the exact site before visiting.
Can I trust this NPI listing for MR. MARK GORDON?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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