DR. WADE TRAVIS GORDON (MD) – Orthopaedic Surgery Physician, NPI 1316936842

DR. WADE TRAVIS GORDON (MD) is a healthcare provider. based in Sayre, Pennsylvania. specializing in Orthopaedic Surgery Physician. They hold the professional credentials MD. They hold a License No. MD469347 (PA). The NPI Number for DR. WADE TRAVIS GORDON (MD) is 1316936842

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. WADE TRAVIS GORDON (MD)
NPI
1316936842
Phone
(570) 888-5858
Address
1 GUTHRIE SQ
Enumeration Date
18 October 2005
Last Update Date
15 March 2021

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
5708885858
Graduation Year
1999 (27 years ago)
PAC ID
0648401505
Group Practice PAC ID
6002728656
Professional Enrollment ID
I20191226002100

Contacts

Secure Messaging
wgordon147371@direct-guthrie.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

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Provider Addresses for DR. WADE TRAVIS GORDON (MD)

  • Guthrie Robert Packer Hospital, 1, Guthrie Square, Sayre, Bradford County, Pennsylvania, 18840, United States

    SAYRE, PA 188401625

    Phone: (570) 888-5858

    Type: Mailing

  • Orthopaedic Surgery - 99 MDOS/SGOSO

    Mike O'Callaghan Federal Hospital

    Nellis AFB, NV 89131

    Phone: (702) 653-3040

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $126.

Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.

Last reported payment date: 2024-01-17 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($80).

Total Amount

$126

General + Research + Ownership

Payments

3

Total payment records

General Amount

$126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-01-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200121002227IOrthopedic SurgeryNYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 18840)

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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: 6002728656View full group profile
NameSpecialtyState
-NY
Diagnostic RadiologyMO
Diagnostic RadiologyKY
Diagnostic RadiologyMA
Nurse PractitionerPA
-NY
Nurse PractitionerPA
Registered Dietitian Or Nutrition ProfessionalPA
Gastroenterology, Internal MedicinePA
-PA

Reviews

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Frequently asked questions

How do payers reference DR. WADE TRAVIS GORDON (MD)?
For DR. WADE TRAVIS GORDON (MD), use NPI 1316936842 as the unique 10-digit identifier.
Is DR. WADE TRAVIS GORDON (MD) still an active registrant?
DR. WADE TRAVIS GORDON (MD) carries an active NPI according to the public dataset.
What expertise is attributed to DR. WADE TRAVIS GORDON (MD)?
DR. WADE TRAVIS GORDON (MD)'s specialty line reads Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. WADE TRAVIS GORDON (MD)?
Travel planning: use Sayre, Pennsylvania as the reference point for DR. WADE TRAVIS GORDON (MD), then confirm.
When was this NPI issued?
Enumeration for DR. WADE TRAVIS GORDON (MD) is noted as October 18, 2005 where the registry provides it.