ANDREW GORDON – Critical Care Medicine (Internal Medicine) Physician, NPI 1730429622

ANDREW GORDON is a healthcare provider. based in Walled lake, Michigan. specializing in INTERNAL MEDICINE, PULMONARY DISEASE. They hold a License No. OS16236 (FL). The NPI Number for ANDREW GORDON is 1730429622

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW GORDON
NPI
1730429622
Phone
(816) 646-9900
Address
22203 CHESAPEAKE CIR
Enumeration Date
28 February 2013
Last Update Date
10 July 2019

Doctor Profile

Medical School Name
KANSAS CITY MEDICAL COLLEGE
Secondary Phone
5619970821
Graduation Year
2013 (13 years ago)
PAC ID
2466761200
Group Practice PAC ID
0244269413
Professional Enrollment ID
I20191009002608
Address ID
FL342094604BR2020XWXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for ANDREW GORDON

  • 22203 CHESAPEAKE CIR

    WALLED LAKE, MI 483905916

    Phone: (816) 646-9900

    Type: Mailing

  • 2020 59TH ST W

    BRADENTON, FL 342094604

    Phone: (941) 792-6611

    Type: Location

  • 28050 Grand River Ave

    Farmington Hills, MI 483365919

    Phone: (248) 471-8224

    Type: Location

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: 2019-10-09

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
I20191009002608IInternal MedicineFLTBD

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
99291Critical care, first 30-74 minutes8581$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)1616$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1616$0
76937Ultrasonic guidance for blood vessel access1412$0
31500Emergent insertion of breathing tube into windpipe using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 48390)

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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: 0244269413View full group profile
NameSpecialtyState
Physician AssistantVT
Internal MedicineNY
Pulmonary Disease, Internal MedicineOK
-SC
-VA
Pulmonary Disease, Critical Care (Intensivists)GA
Internal Medicine, Critical Care (Intensivists)OR
-FL
Internal MedicineFL
-TN

Reviews

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Frequently asked questions

How do payers reference ANDREW GORDON?
For ANDREW GORDON, use NPI 1730429622 as the unique 10-digit identifier.
Is ANDREW GORDON shown as active in public data?
Registry records indicate ANDREW GORDON maintains an active NPI.
What expertise is attributed to ANDREW GORDON?
ANDREW GORDON's specialty line reads Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where in Michigan is ANDREW GORDON registered?
Use Walled Lake, Michigan as the headline location for ANDREW GORDON here.
Can I trust this NPI listing for ANDREW GORDON?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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