ANDREA E GORDON (MD) – Family Medicine Physician, NPI 1811986292

ANDREA E GORDON (MD) is a healthcare provider. based in Malden, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 223312 (MA). The NPI Number for ANDREA E GORDON (MD) is 1811986292

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA E GORDON (MD)
NPI
1811986292
Phone
(781) 338-0500
Address
195 CANAL ST
Enumeration Date
18 October 2005
Last Update Date
29 November 2011

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
6173896270
Graduation Year
1991 (35 years ago)
PAC ID
2062401458
Group Practice PAC ID
8921910894
Professional Enrollment ID
I20041214000154
Address ID
MA021495066EV103XXSTXX300
Telehealth
Yes
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

1,899 FAMILY PRACTICE in MA

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Provider Addresses for ANDREA E GORDON (MD)

  • 195, Canal Street, Malden Centre, Malden, Middlesex County, Massachusetts, 02148, United States

    MALDEN, MA 021486701

    Phone: (781) 338-0500

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-12-14

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
I20041214000154IFamily PracticeMATBD

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
99215Established patient office or other outpatient visit, 40-54 minutes2414$0
99214Established patient office or other outpatient visit, 30-39 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 02148)

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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: 8921910894View full group profile
NameSpecialtyState
Family PracticeMA
-MA
-NH
Rheumatology, Internal MedicineMA
-MA
Emergency MedicineMA
Family PracticeMA
O B S T E T R I C S/ G Y N E C O L O G YPA
Emergency MedicineMA
Physician AssistantMA

Reviews

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Frequently asked questions

What identifier follows ANDREA E GORDON (MD) across health systems?
The NPI 1811986292 uniquely identifies ANDREA E GORDON (MD) in U.S. healthcare data.
Does the public listing show ANDREA E GORDON (MD) as active?
ANDREA E GORDON (MD)'s NPI record reflects an active status in NPPES.
What does the directory say ANDREA E GORDON (MD) does?
Insurance directories may phrase it differently, but here ANDREA E GORDON (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit ANDREA E GORDON (MD) in Malden, Massachusetts?
For routing, start with Malden, Massachusetts for ANDREA E GORDON (MD), then verify phone and hours locally.
Who maintains ANDREA E GORDON (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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