DR. PETER ALFRED GORDON (M.D.) – Ophthalmology Physician, NPI 1992706683

DR. PETER ALFRED GORDON (M.D.) is a healthcare provider. based in Decatur, Georgia. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 023055 (GA). The NPI Number for DR. PETER ALFRED GORDON (M.D.) is 1992706683

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER ALFRED GORDON (M.D.)
NPI
1992706683
Phone
(404) 292-2500
Address
PO BOX 1798
Enumeration Date
3 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7709222201
Graduation Year
1979 (47 years ago)
PAC ID
7214901883
Group Practice PAC ID
5193702512
Professional Enrollment ID
I20100318000505
Address ID
GA300123825CO1400XNEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

570 OPHTHALMOLOGY in GA

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Provider Addresses for DR. PETER ALFRED GORDON (M.D.)

  • Druid Hills High School, 1798, Haygood Drive Northeast, Emory Estates, Atlanta, DeKalb County, Georgia, 30307, United States

    DECATUR, GA 300311798

    Phone: (404) 292-2500

    Fax: (404) 294-9361

    Type: Mailing

  • 1457, Scott Boulevard, Scottdale, DeKalb County, Georgia, 30030, United States

    DECATUR, GA 300301705

    Phone: (404) 292-2500

    Fax: (404) 294-9361

    Type: Location

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 $521.

Total Amount is formed as General ($521) + Research ($0) + Ownership ($0) = $521.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Glaukos Corporation ($146).

Total Amount

$521

General + Research + Ownership

Payments

4

Total payment records

General Amount

$521

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

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: 2010-03-18

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
I20100318000505IOphthalmologyGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes11280$0
99204New patient office or other outpatient visit, 45-59 minutes3333$0
92250Photography of the retina1818$0
92083Exam of visual field with extended testing1616$0
92133Imaging of optic nerve1514$0
View full utilization report →

Insurance plans in this area (ZIP 30031)

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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: 5193702512View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YGA
O P T O M E T R YGA
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YFL
-GA
O P H T H A L M O L O G YGA

Reviews

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Frequently asked questions

How do I look up DR. PETER ALFRED GORDON (M.D.) by NPI?
Use NPI 1992706683 when you need to reference DR. PETER ALFRED GORDON (M.D.) in forms, claims, or directories.
Is DR. PETER ALFRED GORDON (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. PETER ALFRED GORDON (M.D.) work in?
You can think of DR. PETER ALFRED GORDON (M.D.) as practicing within Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. PETER ALFRED GORDON (M.D.)'s primary listing?
We display Decatur, Georgia because that is what the record indicates for DR. PETER ALFRED GORDON (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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