DR. ANDREW JOHN GORDON (MD, FACS) – Surgery Physician, NPI 1194761924

DR. ANDREW JOHN GORDON (MD, FACS) is a healthcare provider. based in Marshall, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials MD, FACS. They hold a License No. AG067751 (MI). The NPI Number for DR. ANDREW JOHN GORDON (MD, FACS) is 1194761924

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW JOHN GORDON (MD, FACS)
NPI
1194761924
Phone
(269) 781-4267
Address
215 E Mansion St
Enumeration Date
21 June 2006
Last Update Date
13 January 2020

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2696553090
Graduation Year
1991 (35 years ago)
PAC ID
1254230923
Group Practice PAC ID
9032008495
Professional Enrollment ID
I20040115000257
Address ID
MI490798242PA451XXEXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,444 GENERAL SURGERY in MI

Provider Addresses for DR. ANDREW JOHN GORDON (MD, FACS)

  • 215 E Mansion St

    Suite 3E

    Marshall, MI 490681559

    Phone: (269) 781-4267

    Fax: (269) 781-2710

    Type: Location

  • 601 JOHN ST STE M-283

    KALAMAZOO, MI 490075382

    Phone: (269) 349-7696

    Fax: (269) 349-0610

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $159.

Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($67).

Total Amount

$159

General + Research + Ownership

Payments

7

Total payment records

General Amount

$159

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

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: 2004-01-15

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
I20040115000257IGeneral SurgeryMITBD

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
99204New patient office or other outpatient visit, 45-59 minutes3434$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1713$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 49068)

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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: 9032008495View full group profile
NameSpecialtyState
Physician AssistantMI
Physician AssistantMI
Clinical Social WorkerMI
Nurse PractitionerMI
Physician AssistantMI
Physician AssistantMI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology)MI
Clinical Social WorkerMI
-MI

Reviews

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Frequently asked questions

Is there an official ID for DR. ANDREW JOHN GORDON (MD, FACS) in U.S. healthcare records?
The official identifier for DR. ANDREW JOHN GORDON (MD, FACS) is NPI 1194761924.
Is there an active status for DR. ANDREW JOHN GORDON (MD, FACS)?
For scheduling context, DR. ANDREW JOHN GORDON (MD, FACS) is shown as active in the registry.
What clinical focus is listed for DR. ANDREW JOHN GORDON (MD, FACS)?
At a glance, DR. ANDREW JOHN GORDON (MD, FACS) is tied to Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. ANDREW JOHN GORDON (MD, FACS) associated with Marshall?
Public fields place DR. ANDREW JOHN GORDON (MD, FACS) around Marshall, Michigan. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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