DR. SHAYNA LEE GORDON (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1679849780
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
247 DERMATOLOGY in IN
Provider Addresses for DR. SHAYNA LEE GORDON (M.D.)
1214 WOODBRIDGE LN
INDIANAPOLIS, IN 462601241
Phone: (317) 250-7429
Type: Mailing
1100 SOUTHFIELD DR
SUITE 1240
PLAINFIELD, IN 461684498
Phone: (317) 838-9911
Fax: (317) 837-6080
Type: Location
1010 W 2nd St
Bloomington, IN 474032217
Phone: (812) 200-2458
Fax: (930) 200-8590
Type: Location
6639 Whitestown Pkwy
Zionsville, IN 460777622
Phone: (317) 732-8980
Fax: (317) 732-8979
Type: Location
2155 E Main St
Plainfield, IN 461681816
Phone: (855) 297-9689
Fax: (603) 451-6001
Type: Location
111 NEW HAMPSHIRE AVE STE 2
PORTSMOUTH, NH 038012864
Phone: (330) 947-6021
Type: Mailing
2800 S STATE ROAD 135 STE 250
GREENWOOD, IN 461436223
Phone: (317) 300-1788
Fax: (317) 743-8103
Type: Location
824 EDWARDS DR
PLAINFIELD, IN 461682791
Phone: (317) 406-3254
Fax: (317) 406-3259
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $548.
Total Amount is formed as General ($548) + Research ($0) + Ownership ($0) = $548.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($69).
Total Amount
$548
General + Research + Ownership
Payments
27
Total payment records
General Amount
$548
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 |
|---|---|
| Janssen Biotech, Inc. | $69 |
| E.R. Squibb & Sons, L.L.C. | $67 |
| ABBVIE INC. | $50 |
| Incyte Corporation | $46 |
| Sun Pharmaceutical Industries Inc. | $37 |
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: 2017-08-22
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 |
|---|---|---|---|---|
| I20170822001642 | I | Dermatology | IN | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,292 | 195 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 826 | 649 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 431 | 379 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 339 | 267 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 334 | 258 | $0 |
Insurance plans in this area (ZIP 46260)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IN | |
| D E R M A T O L O G Y | NH | |
| D E R M A T O L O G Y | NH | |
| D E R M A T O L O G Y | NH | |
| D E R M A T O L O G Y | IN | |
| Nurse Practitioner | OH | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | NH | |
| Physician Assistant | OH | |
| Physician Assistant | IN |
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