DR. MICHAEL GORDON (DO) – Dermatology Physician, NPI 1689136137
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
453 DERMATOLOGY in NJ
Provider Addresses for DR. MICHAEL GORDON (DO)
222 W 14TH ST APT 10H
NEW YORK, NY 100117209
Phone: (917) 283-2147
Type: Mailing
7600 RIVER RD
NORTH BERGEN, NJ 070476217
Phone: (201) 854-5000
Type: Location
750 COLUMBUS AVE APT 6A
NEW YORK, NY 100256477
Phone: (917) 283-2147
Type: Mailing
32 COURT ST STE 302
BROOKLYN, NY 112014408
Phone: (718) 408-4906
Fax: (718) 228-6170
Type: Mailing
222 W 14th St Apt 10H
New York, NY 100117209
Phone: (917) 283-2147
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $1,730.
Total Amount is formed as General ($1,730) + Research ($0) + Ownership ($0) = $1,730.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: GENZYME CORPORATION ($264).
Total Amount
$1,730
General + Research + Ownership
Payments
53
Total payment records
General Amount
$1,730
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $264 |
| ABBVIE INC. | $182 |
| Incyte Corporation | $169 |
| UCB, Inc. | $159 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $141 |
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: 2024-06-11
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 |
|---|---|---|---|---|
| I20240611001607 | I | Dermatology | NY | 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 10011)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| D E R M A T O L O G Y | NY | |
| D E R M A T O L O G Y | NY | |
| - | NY | |
| Physician Assistant | NY | |
| - | NY | |
| Physician Assistant | NY | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | MD | |
| Nurse Practitioner | NY |
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