DR. GREGORY I GORDON (M.D.) – Diagnostic Radiology Physician, NPI 1205804267
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
29 INTERVENTIONAL RADIOLOGY in NE
Provider Addresses for DR. GREGORY I GORDON (M.D.)
17404 Burke St Ste 102
Omaha, NE 681182242
Phone: (531) 466-4260
Type: Location
Nebraska Medical Center, 668, South 41st Street, Omaha, Douglas County, Nebraska, 68105, United States
OMAHA, NE 681981045
Phone: (402) 559-1343
Fax: (402) 559-1340
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $6,420.
Total Amount is formed as General ($6,420) + Research ($0) + Ownership ($0) = $6,420.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: AngioDynamics, Inc. ($5,958).
Total Amount
$6,420
General + Research + Ownership
Payments
15
Total payment records
General Amount
$6,420
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AngioDynamics, Inc. | $5,958 |
| Boston Scientific Corporation | $304 |
| Medtronic, Inc. | $159 |
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: 2015-04-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20090311000027 | I | Interventional Radiology | NE | TBD |
| I20150403000428 | I | Interventional Radiology | IA | 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 |
|---|---|---|---|---|
| 64636 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 50 | 16 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 38 | 18 | $0 |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | 26 | 14 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 26 | 14 | $0 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 25 | 16 | $0 |
Insurance plans in this area (ZIP 68118)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | OK | |
| Diagnostic Radiology | NE | |
| - | NE | |
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | CO | |
| Physician Assistant | NE | |
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | NE |
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