DR. MICHAEL H GORDON (MD) – Internal Medicine Physician, NPI 1043288897

DR. MICHAEL H GORDON (MD) is a healthcare provider. based in Clarks summit, Pennsylvania. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD059752L (PA). The NPI Number for DR. MICHAEL H GORDON (MD) is 1043288897

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL H GORDON (MD)
NPI
1043288897
Phone
(570) 586-1134
Address
407 N STATE ST
Enumeration Date
9 March 2006
Last Update Date
28 October 2021

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF PENNSYLVANIA
Secondary Phone
5705861134
Graduation Year
1992 (34 years ago)
PAC ID
9739223033
Group Practice PAC ID
0143487389
Professional Enrollment ID
I20100225000025
Address ID
PA184111061CL407XXSTXX401
Telehealth
Yes

Contacts

Secure Messaging
michael.gordon.1@21771.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

9,967 INTERNAL MEDICINE in PA

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Provider Addresses for DR. MICHAEL H GORDON (MD)

  • 407, North State Street, Clarks Summit, Lackawanna County, Pennsylvania, 18411, United States

    CLARKS SUMMIT, PA 184111061

    Phone: (570) 586-1134

    Fax: (570) 586-1136

    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 27 Open Payments records for all available years, with a total value of $455.

Total Amount is formed as General ($455) + Research ($0) + Ownership ($0) = $455.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($68).

Total Amount

$455

General + Research + Ownership

Payments

27

Total payment records

General Amount

$455

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-25

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100225000025IInternal MedicinePATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes358202$0
99214Established patient office or other outpatient visit, 30-39 minutes293164$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit167167$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days9714$0
G0008Administration of influenza virus vaccine8785$0
View full utilization report →

Insurance plans in this area (ZIP 18411)

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Provider's Procedures

DR. MICHAEL H GORDON (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEPA90670Pneumococcal vaccine for injection into muscle5150

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: 0143487389View full group profile
NameSpecialtyState
Vascular Surgery, Peripheral Vascular DiseasePA
O B S T E T R I C S/ G Y N E C O L O G YPA
O B S T E T R I C S/ G Y N E C O L O G YPA
-NY
General SurgeryPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YPA
-PA

Reviews

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Frequently asked questions

How do payers reference DR. MICHAEL H GORDON (MD)?
For DR. MICHAEL H GORDON (MD), use NPI 1043288897 as the unique 10-digit identifier.
Is there an active status for DR. MICHAEL H GORDON (MD)?
For scheduling context, DR. MICHAEL H GORDON (MD) is shown as active in the registry.
What area of care is associated with DR. MICHAEL H GORDON (MD)?
DR. MICHAEL H GORDON (MD)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL H GORDON (MD) located near Clarks Summit?
DR. MICHAEL H GORDON (MD) currently maps to Clarks Summit, Pennsylvania in this extract.
When was this NPI issued?
Enumeration for DR. MICHAEL H GORDON (MD) is noted as March 9, 2006 where the registry provides it.

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