DR. MARK ERNEST GORDON (MD) – Internal Medicine Physician, NPI 1083686257
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MARK ERNEST GORDON (MD)
Meritas Health Gashland, 9411, North Oak Trafficway, Kansas City, Clay County, Missouri, 64155, United States
SUITE LL1
KANSAS CITY, MO 641552262
Phone: (816) 436-7072
Fax: (816) 436-2743
Type: Mailing
2700, Clay Edwards Drive, North Kansas City, Clay County, Missouri, 64116, United States
SUITE 400
NORTH KANSAS CITY, MO 641163251
Phone: (816) 421-4240
Fax: (816) 421-5015
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: 2010-08-02
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 |
|---|---|---|---|---|
| I20100802000934 | I | Internal Medicine | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64155)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Family Practice, Osteopathic Manipulative Medicine | MO | |
| - | MO | |
| - | MO | |
| Hospitalist, Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | DE | |
| General Surgery | MO | |
| N E U R O L O G Y | MO | |
| A N E S T H E S I O L O G Y | MO |
Reviews
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