DR. GORDON DAVID LONG (M.D.) – Family Medicine Physician, NPI 1487769766
Family Medicine Physician
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. GORDON DAVID LONG (M.D.)
715 RICHLAND MALL
ONTARIO, OH 449063802
Phone: (419) 529-6195
Type: Location
700 N COLUMBUS ST
CRESTLINE, OH 448271455
Phone: (419) 529-6195
Type: Mailing
Morris-Rose Road, Clay Township, Shelby County, Ohio, 45334, United States
SUITE 1
SHELBY, OH 448751152
Phone: (419) 347-4040
Fax: (419) 347-9073
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 242 Open Payments records for all available years, with a total value of $4,201.
Total Amount is formed as General ($4,201) + Research ($0) + Ownership ($0) = $4,201.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($1,483).
Total Amount
$4,201
General + Research + Ownership
Payments
242
Total payment records
General Amount
$4,201
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,483 |
| AstraZeneca Pharmaceuticals LP | $286 |
| Otsuka America Pharmaceutical, Inc. | $279 |
| Bayer Healthcare Pharmaceuticals Inc. | $219 |
| PFIZER INC. | $182 |
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: 2007-03-21
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 |
|---|---|---|---|---|
| I20070321000195 | I | Family Practice | OH | 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 | 517 | 273 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 278 | 181 | $0 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 22 | 19 | $0 |
Insurance plans in this area (ZIP 44906)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OH | 90670 | Pneumococcal vaccine for injection into muscle | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Internal Medicine | OH | |
| E N D O C R I N O L O G Y | OH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | OH | |
| Emergency Medicine | OH | |
| - | OH | |
| Internal Medicine | OH |
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