SCOTT WILLIAM GORDON (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1164745824
Foot & Ankle Surgery Podiatrist
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Profile Insights
NPPES metrics only — not quality of care.
76 PODIATRY in KS
Provider Addresses for SCOTT WILLIAM GORDON (DPM)
203 WATSON ST STE 300
PRATT, KS 671243092
Phone: (620) 672-1002
Fax: (620) 450-1741
Type: Mailing
2301 Indian Wells Rd Ste A
Alamogordo, NM 883104611
Phone: (575) 434-0639
Type: Location
1206 W Frontview St Ste 203
Dodge City, KS 678012095
Phone: (620) 225-7744
Fax: (620) 225-5522
Type: Location
200 Commodore St
Pratt, KS 671242903
Phone: (620) 450-1186
Type: Location
Indian Wells Road, Alamogordo, Otero County, New Mexico, 88310-4860, United States
ALAMOGORDO, NM 883104611
Phone: (575) 434-0639
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $780.
Total Amount is formed as General ($780) + Research ($0) + Ownership ($0) = $780.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Stryker Corporation ($465).
Total Amount
$780
General + Research + Ownership
Payments
23
Total payment records
General Amount
$780
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $465 |
| Smith+Nephew, Inc. | $145 |
| restor3d, inc. | $49 |
| Linvatec Corporation | $48 |
| Avanos Medical | $19 |
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: 2013-08-05
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 |
|---|---|---|---|---|
| I20130805000691 | I | Podiatry | KS | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,003 | 416 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 873 | 142 | $0 |
| Q4133 | Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter | 432 | 12 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 372 | 236 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 322 | 70 | $0 |
Insurance plans in this area (ZIP 67124)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | NM | 11720 | Removal of tissue from 1 to 5 finger or toe nails | 21 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | KS | |
| Nurse Practitioner | KS | |
| Internal Medicine | KS | |
| Clinical Psychologist | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Physician Assistant | KS | |
| Cardiovascular Disease (Cardiology) | NOT LISTED | |
| Mental Health Counselor | KS | |
| Nurse Practitioner | KS |
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