DR. SETH J GORDON (MD) – Hospitalist Physician, NPI 1922038363

DR. SETH J GORDON (MD) is a healthcare provider. based in Lewiston, Maine. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 197079 (NY). The NPI Number for DR. SETH J GORDON (MD) is 1922038363

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. SETH J GORDON (MD)
NPI
1922038363
Phone
(207) 777-8810
Address
99 Campus Ave
Enumeration Date
3 July 2006
Last Update Date
20 May 2021

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
5185251550
Graduation Year
1992 (34 years ago)
PAC ID
5496785990
Group Practice PAC ID
2668460072
Professional Enrollment ID
I20160708000102
Address ID
NY122081707AL315XXBLVD400

Contacts

Secure Messaging
payer.credentialing@sphp.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

916 INTERNAL MEDICINE in ME

Provider Addresses for DR. SETH J GORDON (MD)

  • 99 Campus Ave

    Suite 201

    Lewiston, ME 042406045

    Phone: (207) 777-8810

    Fax: (207) 777-8155

    Type: Location

  • 600 Northern Blvd

    Albany, NY 122041004

    Phone: (518) 471-3221

    Type: Location

  • 2215 Burdett Ave

    Troy, NY 121802466

    Phone: (518) 271-3300

    Fax: (518) 271-3440

    Type: Location

  • PO BOX 14890

    ALBANY, NY 122124890

    Phone: (518) 525-5634

    Fax: (518) 649-4094

    Type: Mailing

  • Saint Peter's Hospital, 315, South Manning Boulevard, Albany, Albany County, New York, 12208, United States

    ALBANY, NY 12208

    Phone: (518) 525-1550

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-02-29 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-29

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: 2016-07-08

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
I20160708000102IInternal MedicineNYTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes635236$0
99239Hospital discharge day management, more than 30 minutes202197$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 04240)

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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: 2668460072View full group profile
NameSpecialtyState
Internal MedicineNY
-NY
Internal MedicineNY
Internal Medicine, HospitalistCT
Internal MedicineNY
-NY
N E U R O L O G YNY
Internal MedicineNY
Orthopedic SurgeryNY
-NY

Reviews

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Frequently asked questions

How do I look up DR. SETH J GORDON (MD) by NPI?
Use NPI 1922038363 when you need to reference DR. SETH J GORDON (MD) in forms, claims, or directories.
Is DR. SETH J GORDON (MD)'s NPI currently valid?
The extract we use shows DR. SETH J GORDON (MD) as active.
What does DR. SETH J GORDON (MD) treat or focus on?
Patients typically see DR. SETH J GORDON (MD) under the specialty Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. SETH J GORDON (MD)?
The snapshot lists Lewiston, Maine for DR. SETH J GORDON (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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