DR. ELY R GORDON (DO, MPH) – Internal Medicine Physician, NPI 1215992029
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,186 INTERNAL MEDICINE in MO
Provider Addresses for DR. ELY R GORDON (DO, MPH)
336 S. Jefferson St.
Neosho, MO 64850
Phone: (417) 455-4200
Fax: (417) 455-4314
Type: Location
5012 S US HWY 75, SUITE 300
ATTN BILLING
DENISON, TX 750204589
Phone: (580) 795-5506
Fax: (580) 795-5145
Type: Mailing
500 BROOKSIDE DRIVE
PO BOX 847
MADILL, OK 734460847
Phone: (580) 795-5506
Fax: (580) 795-5145
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: 2018-01-23
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 |
|---|---|---|---|---|
| I20180123002003 | I | Internal Medicine | OK | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 312 | 129 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 220 | 126 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 184 | 119 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 133 | 24 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 120 | 60 | $0 |
Insurance plans in this area (ZIP 64850)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Family Practice | TX |
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