BRET S GORDON (D.O.) – Obstetrics & Gynecology Physician, NPI 1972507366

BRET S GORDON (D.O.) is a healthcare provider. based in Kansas city, Missouri. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. 2001015997 (MO). The NPI Number for BRET S GORDON (D.O.) is 1972507366

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
BRET S GORDON (D.O.)
NPI
1972507366
Phone
(816) 502-7104
Address
901 E 104TH ST
Enumeration Date
13 June 2005
Last Update Date
27 February 2018

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
8169324630
Graduation Year
2000 (26 years ago)
PAC ID
2860479581
Group Practice PAC ID
3577476894
Professional Enrollment ID
I20141111000809
Address ID
KS662074030OV4061XPKWY400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

382 OBSTETRICS/GYNECOLOGY in KS

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Provider Addresses for BRET S GORDON (D.O.)

  • 901, East 104th Street, Executive Hills East, Kansas City, Jackson County, Missouri, 64131, United States

    MAILSTOP 400N

    KANSAS CITY, MO 641314517

    Phone: (816) 502-7104

    Fax: (816) 932-9670

    Type: Mailing

  • 12330, Metcalf Avenue, Overland Park, Johnson County, Kansas, 66213, United States

    STE 420

    OVERLAND PARK, KS 662131324

    Phone: (913) 323-9000

    Fax: (913) 323-9001

    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: 2014-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (920 days ago).

Enrollment records

2

Earliest due date

2023-11-30

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
I20040701000315IObstetrics/GynecologyMOTBD
I20141111000809IObstetrics/GynecologyKS2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 minutes124122$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination4242$0
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 64131)

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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: 3577476894View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMO
Diagnostic RadiologyMO
Nurse PractitionerMO
Nurse PractitionerMO
Internal MedicineMO
Nurse PractitionerMO
Pulmonary Disease, Internal MedicineKS
Certified Registered Nurse Anesthetist (Crna)CA
Certified Clinical Nurse Specialist (Cns)MO
Nurse PractitionerKS

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRET S GORDON (D.O.)?
BRET S GORDON (D.O.) — NPI 1972507366 — is the standard way to identify this listing.
Does the file indicate BRET S GORDON (D.O.) is practicing under active NPI?
Directory data currently reports BRET S GORDON (D.O.) as active.
What is BRET S GORDON (D.O.) best known for clinically?
Directory data describes BRET S GORDON (D.O.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect BRET S GORDON (D.O.) on a map?
Expect Kansas City, Missouri as a primary anchor for BRET S GORDON (D.O.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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