CHARLES S GORDON (M.D.) – Vascular & Interventional Radiology Physician, NPI 1679516124

CHARLES S GORDON (M.D.) is a healthcare provider. based in Pensacola, Florida. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY, NUCLEAR MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME0068812 (FL). The NPI Number for CHARLES S GORDON (M.D.) is 1679516124

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES S GORDON (M.D.)
NPI
1679516124
Phone
(850) 201-2421
Address
4724 N Davis Hwy Ste 100
Enumeration Date
13 June 2006
Last Update Date
21 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
9043995550
Graduation Year
1993 (33 years ago)
PAC ID
8729119755
Group Practice PAC ID
8820077878
Professional Enrollment ID
I20100708000253
Address ID
FL342384536SA3900XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

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

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: 2010-07-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100708000253IDiagnostic RadiologyFLTBD

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
70450Ct scan head or brain without contrast487479$0
71045X-ray of chest, 1 view331306$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes175167$0
71275Ct scan of blood vessels of chest with contrast9796$0
32555Aspiration of fluid from chest cavity using imaging guidance8582$0
View full utilization report →

Insurance plans in this area (ZIP 32503)

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Provider's Procedures

CHARLES S GORDON (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYFL62311Injections of substances into lower or sacral spine2019
DIAGNOSTIC RADIOLOGYFL71010X-ray of chest, 1 view, front315274
DIAGNOSTIC RADIOLOGYFL71250CT scan chest3939
DIAGNOSTIC RADIOLOGYFL74177CT scan of abdomen and pelvis with contrast9393
DIAGNOSTIC RADIOLOGYFL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1515

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: 8820077878View full group profile
NameSpecialtyState
Diagnostic RadiologyGA
Interventional RadiologyFL
Diagnostic Radiology, Interventional RadiologyOH
Diagnostic RadiologyFL
Diagnostic RadiologyWI
-FL
Neurology, Nuclear Medicine, Diagnostic RadiologyFL
Diagnostic RadiologyKY
-FL
Diagnostic RadiologyTN

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Frequently asked questions

How do I look up CHARLES S GORDON (M.D.) by NPI?
Use NPI 1679516124 when you need to reference CHARLES S GORDON (M.D.) in forms, claims, or directories.
Is CHARLES S GORDON (M.D.) active in the national directory?
CHARLES S GORDON (M.D.)'s public NPI profile is in an active state.
What kind of provider is CHARLES S GORDON (M.D.)?
The page reflects Vascular & Interventional Radiology Physician for CHARLES S GORDON (M.D.). Clinical services aligned with this taxonomy classification.
Does CHARLES S GORDON (M.D.) practice in Florida?
You will see Pensacola, Florida on file for CHARLES S GORDON (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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