FREDRIC D GORDON (M.D.) – Hepatology Physician, NPI 1891892691

FREDRIC D GORDON (M.D.) is a healthcare provider. based in Newton, Massachusetts. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 73902 (MA). The NPI Number for FREDRIC D GORDON (M.D.) is 1891892691

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
FREDRIC D GORDON (M.D.)
NPI
1891892691
Phone
(617) 291-3960
Address
168 CYNTHIA RD
Enumeration Date
20 September 2006
Last Update Date
17 March 2025

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6176365000
Graduation Year
1988 (38 years ago)
PAC ID
7113963554
Group Practice PAC ID
4486546082
Professional Enrollment ID
I20050707000307
Address ID
MA021111552BO800XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

828 GASTROENTEROLOGY in MA

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Provider Addresses for FREDRIC D GORDON (M.D.)

  • 168 CYNTHIA RD

    NEWTON, MA 024592864

    Phone: (617) 291-3960

    Type: Mailing

  • Burlington, 572, Great Mall Drive, Great Mall, Milpitas, Santa Clara County, California, 95035-8004, United States

    4 WEST

    BURLINGTON, MA 018050001

    Phone: (781) 744-5100

    Fax: (781) 744-5743

    Type: Mailing

  • 800 WASHINGTON ST BLDG 40

    BOSTON, MA 021111552

    Phone: (617) 636-4886

    Fax: (617) 636-1003

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $70,235.

Total Amount is formed as General ($69,135) + Research ($1,100) + Ownership ($0) = $70,235.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Gilead Sciences, Inc. ($39,039).

Total Amount

$70,235

General + Research + Ownership

Payments

56

Total payment records

General Amount

$69,135

General payments

Research Amount

$1,100

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2005-07-07

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
I20050707000307IGastroenterologyMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5539$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4119$0
99215Established patient office or other outpatient visit, 40-54 minutes3125$0
99205New patient office or other outpatient visit, 60-74 minutes2121$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2016$0
View full utilization report →

Insurance plans in this area (ZIP 02459)

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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: 4486546082View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryCT
-MA
Physician AssistantMA
Gastroenterology, Internal MedicineMA
General SurgeryMA
General SurgeryMA
Physician AssistantNY
Physician AssistantNY
-MA
Physician AssistantMA

Reviews

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Frequently asked questions

Can I use this page to confirm FREDRIC D GORDON (M.D.)'s NPI?
Yes. FREDRIC D GORDON (M.D.) is listed with NPI 1891892691 in the public NPI dataset.
Is FREDRIC D GORDON (M.D.) still practicing?
FREDRIC D GORDON (M.D.) is currently listed as active in the public NPI registry.
What is FREDRIC D GORDON (M.D.)'s specialty?
The listing groups FREDRIC D GORDON (M.D.) with Hepatology Physician. Clinical services aligned with this taxonomy classification.
Where is FREDRIC D GORDON (M.D.) based?
FREDRIC D GORDON (M.D.) is tied to Newton, Massachusetts in the data we show; additional addresses may exist on the full record.
Is the information about FREDRIC D GORDON (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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