DR. JOSHUA PAUL GORDON (D.O.) – Student in an Organized Health Care Education/Training Program, NPI 1972037877
Student in an Organized Health Care Education/Training Program
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Profile Insights
NPPES metrics only — not quality of care.
580 ANESTHESIOLOGY in OK
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Provider Addresses for DR. JOSHUA PAUL GORDON (D.O.)
10415, South Prescott Street, Southern Reserve, Jenks, Tulsa County, Oklahoma, 74037, United States
JENKS, OK 740377147
Phone:
Type: Mailing
OU Medical Center, 700, Northeast 13th Street, Oklahoma City, Oklahoma County, Oklahoma, 73104, United States
OKLAHOMA CITY, OK 731045004
Phone: (405) 271-4351
Type: Location
2002 12TH AVE NW STE B
ARDMORE, OK 734011206
Phone: (580) 221-2022
Fax: (580) 221-2024
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 90 Open Payments records for all available years, with a total value of $2,897.
Total Amount is formed as General ($2,897) + Research ($0) + Ownership ($0) = $2,897.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Omnia Medical, LLC ($1,000).
Total Amount
$2,897
General + Research + Ownership
Payments
90
Total payment records
General Amount
$2,897
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Omnia Medical, LLC | $1,000 |
| Abbott Laboratories | $841 |
| Spinal Simplicity, LLC | $188 |
| Nevro Corp. | $147 |
| Vertos Medical, Inc. | $136 |
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: 2022-08-23
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 |
|---|---|---|---|---|
| I20220823002462 | I | Anesthesiology | OK | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 7,750 | 190 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2,155 | 240 | $0 |
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | 1,984 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 748 | 299 | $0 |
| Q9965 | Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml | 457 | 175 | $0 |
Insurance plans in this area (ZIP 74037)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OK | |
| Anesthesiology, Pain Management | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| Family Practice | OK | |
| Family Practice | OK | |
| Nurse Practitioner | TX | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | OK | |
| Family Practice | OK |
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