DR. GORDON JOHNSON (MD) – Hospitalist Physician, NPI 1235103276

DR. GORDON JOHNSON (MD) is a healthcare provider. based in Portland, Oregon. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD19750 (OR). The NPI Number for DR. GORDON JOHNSON (MD) is 1235103276

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. GORDON JOHNSON (MD)
NPI
1235103276
Phone
(503) 331-2376
Address
3465 NE 36TH AVE
Enumeration Date
15 February 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034131122
Graduation Year
1994 (32 years ago)
PAC ID
8820083603
Group Practice PAC ID
0244144004
Professional Enrollment ID
I20040420000392
Address ID
OR972271623PO2801XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,474 INTERNAL MEDICINE in OR

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Provider Addresses for DR. GORDON JOHNSON (MD)

  • 3465, Northeast 36th Avenue, Beaumont-Wilshire, Portland, Multnomah County, Oregon, 97212, United States

    PORTLAND, OR 972122756

    Phone: (503) 331-2376

    Type: Mailing

  • 24988, Southeast Stark Street, Gresham, Metro, Multnomah County, Oregon, 97030, United States

    GRESHAM, OR 970308324

    Phone: (503) 331-2376

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2023-10-05 • Largest payer in this snapshot: FUJIFILM SonoSite, Inc. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
FUJIFILM SonoSite, Inc.$125
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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040420000392IInternal MedicineORTBD
I20210804002298IInternal MedicineWATBD

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.

Verify on CMS Revalidation Lookup Tool

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4021$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3016$0
99239Hospital discharge day management, more than 30 minutes1919$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1818$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 97212)

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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: 0244144004View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineOR
Vascular Surgery, General SurgeryOR
Physician AssistantOR
Internal MedicineOR
Critical Care (Intensivists)OR
-OR
Internal MedicineOR
Internal MedicineOR
Nurse PractitionerOR
-OR

Reviews

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Frequently asked questions

Is DR. GORDON JOHNSON (MD) listed with a National Provider Identifier?
Yes — DR. GORDON JOHNSON (MD) has NPI 1235103276 on file in the registry.
Active or inactive — what applies to DR. GORDON JOHNSON (MD)?
You should see DR. GORDON JOHNSON (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. GORDON JOHNSON (MD)?
At a glance, DR. GORDON JOHNSON (MD) is tied to Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Is DR. GORDON JOHNSON (MD) associated with Portland?
Public fields place DR. GORDON JOHNSON (MD) around Portland, Oregon. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. GORDON JOHNSON (MD) is noted as February 15, 2006 where the registry provides it.

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