JONATHAN K GORDON (MD) – Surgery Physician, NPI 1568460483
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,028 GENERAL SURGERY in MA
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Provider Addresses for JONATHAN K GORDON (MD)
100, Amesbury Street, Lawrence, Essex County, Massachusetts, 01840, United States
SUITE 113
LAWRENCE, MA 018401321
Phone: (978) 685-5474
Fax: (978) 689-0493
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $197.
Total Amount is formed as General ($197) + Research ($0) + Ownership ($0) = $197.
Last reported payment date: 2024-05-01 • Largest payer in this snapshot: Smith+Nephew, Inc. ($96).
Total Amount
$197
General + Research + Ownership
Payments
10
Total payment records
General Amount
$197
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $96 |
| Advanced Oxygen Therapy Inc. | $24 |
| Organogenesis Inc. | $22 |
| Urgo Medical North America, LLC | $21 |
| ConvaTec Inc. | $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: 2004-01-22
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 |
|---|---|---|---|---|
| I20040122000235 | I | General Surgery | MA | 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 |
|---|---|---|---|---|
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 565 | 135 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 334 | 143 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 311 | 139 | $0 |
| 97598 | Removal of tissue from wound, each additional 20.0 sq cm | 259 | 27 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 148 | 127 | $0 |
Insurance plans in this area (ZIP 01840)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| Psychiatry, Pain Management | MA | |
| Internal Medicine | MA | |
| Nephrology, Internal Medicine, Nephrology | MA | |
| Physician Assistant | MA | |
| Emergency Medicine | MA | |
| Nurse Practitioner | MA | |
| General Surgery | FL |
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