MR. RANDY PAUL GORDON (PA-C) – Physician Assistant, NPI 1487705711

MR. RANDY PAUL GORDON (PA-C) is a healthcare provider. based in Yukon, Oklahoma. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 1585 (OK). The NPI Number for MR. RANDY PAUL GORDON (PA-C) is 1487705711

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MR. RANDY PAUL GORDON (PA-C)
NPI
1487705711
Phone
(405) 749-7099
Address
520 S MUSTANG RD
Enumeration Date
15 January 2007
Last Update Date
18 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4059365910
Graduation Year
2006 (20 years ago)
PAC ID
7719081520
Group Practice PAC ID
1153468921
Professional Enrollment ID
I20070404000439
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. RANDY PAUL GORDON (PA-C)

  • Mercy Convenient Care - Yukon, 520, South Mustang Road, Yukon, Canadian County, Oklahoma, 73099, United States

    YUKON, OK 730996737

    Phone: (405) 749-7099

    Fax: (405) 577-2032

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $749.

Total Amount is formed as General ($749) + Research ($0) + Ownership ($0) = $749.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($180).

Total Amount

$749

General + Research + Ownership

Payments

38

Total payment records

General Amount

$749

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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
99213Established patient office or other outpatient visit, 20-29 minutes422350$0
87400Detection test by immunoassay technique for influenza virus14876$0
J1100Injection, dexamethasone sodium phosphate, 1 mg13232$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus8479$0
99214Established patient office or other outpatient visit, 30-39 minutes8075$0
View full utilization report →

Insurance plans in this area (ZIP 73099)

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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: 1153468921View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MR. RANDY PAUL GORDON (PA-C)?
NPI 1487705711 is assigned to MR. RANDY PAUL GORDON (PA-C) under the national enumeration system.
Is MR. RANDY PAUL GORDON (PA-C) currently active in the NPI registry?
CMS-published data lists MR. RANDY PAUL GORDON (PA-C) as an active registrant.
Does MR. RANDY PAUL GORDON (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for MR. RANDY PAUL GORDON (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. RANDY PAUL GORDON (PA-C)?
The page summarizes Yukon, Oklahoma for MR. RANDY PAUL GORDON (PA-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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