CHARLES S GORDON (M.D.) – Vascular & Interventional Radiology Physician, NPI 1679516124
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
Provider Addresses for CHARLES S GORDON (M.D.)
4724 N Davis Hwy Ste 100
Pensacola, FL 325032339
Phone: (850) 201-2421
Fax: (850) 886-2235
Type: Location
161 E Nine Mile Rd Ste 100
Pensacola, FL 325343140
Phone: (850) 201-2422
Fax: (850) 886-2229
Type: Location
Venice Post Office, Broadway, North Venice, Venice, Madison County, Illinois, 62090, United States
VENICE, FL 342841508
Phone: (941) 488-7781
Fax: (941) 484-9235
Type: Mailing
512, Nokomis Avenue South, Venice, Sarasota County, Florida, 34285, United States
VENICE, FL 342852817
Phone: (941) 488-7781
Fax: (941) 484-9235
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 61 Open Payments records for all available years, with a total value of $1,761.
Total Amount is formed as General ($1,761) + Research ($0) + Ownership ($0) = $1,761.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Inari Medical, Inc. ($993).
Total Amount
$1,761
General + Research + Ownership
Payments
61
Total payment records
General Amount
$1,761
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $993 |
| Penumbra, Inc. | $584 |
| Boston Scientific Corporation | $121 |
| ARGON MEDICAL DEVICES, INC. | $32 |
| Medtronic, Inc. | $17 |
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: 2010-07-08
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 |
|---|---|---|---|---|
| I20100708000253 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 487 | 479 | $0 |
| 71045 | X-ray of chest, 1 view | 331 | 306 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 175 | 167 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 97 | 96 | $0 |
| 32555 | Aspiration of fluid from chest cavity using imaging guidance | 85 | 82 | $0 |
Insurance plans in this area (ZIP 32503)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | FL | 62311 | Injections of substances into lower or sacral spine | 20 | 19 |
| DIAGNOSTIC RADIOLOGY | FL | 71010 | X-ray of chest, 1 view, front | 315 | 274 |
| DIAGNOSTIC RADIOLOGY | FL | 71250 | CT scan chest | 39 | 39 |
| DIAGNOSTIC RADIOLOGY | FL | 74177 | CT scan of abdomen and pelvis with contrast | 93 | 93 |
| DIAGNOSTIC RADIOLOGY | FL | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 15 | 15 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | GA | |
| Interventional Radiology | FL | |
| Diagnostic Radiology, Interventional Radiology | OH | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | WI | |
| - | FL | |
| Neurology, Nuclear Medicine, Diagnostic Radiology | FL | |
| Diagnostic Radiology | KY | |
| - | FL | |
| Diagnostic Radiology | TN |
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