LORI LYNN GORDON (MD) – Colon & Rectal Surgery Physician, NPI 1053386045
Colon & Rectal Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
229 COLORECTAL SURGERY (PROCTOLOGY) in TX
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Provider Addresses for LORI LYNN GORDON (MD)
8th Avenue, Fort Worth, Tarrant County, Texas, 76102, United States
FORT WORTH, TX 761044138
Phone: (817) 924-9002
Fax: (817) 924-9960
Type: Location
P. O. BOX 961205
FORT WORTH, TX 761611205
Phone: (817) 740-8400
Fax: (817) 924-9960
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $426.
Total Amount is formed as General ($426) + Research ($0) + Ownership ($0) = $426.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Medtronic, Inc. ($135).
Total Amount
$426
General + Research + Ownership
Payments
13
Total payment records
General Amount
$426
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $135 |
| Intuitive Surgical, Inc. | $122 |
| Innovation Technologies Inc | $46 |
| Integra LifeSciences Corporation | $25 |
| Ethicon US, LLC | $22 |
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: 2010-07-22
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 |
|---|---|---|---|---|
| I20100722000197 | I | Colorectal Surgery (Proctology) | TX | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 29 | 12 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 29 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 22 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 25 | 18 | $0 |
| 46221 | Removal of external hemorrhoids by rubber banding | 24 | 13 | $0 |
Insurance plans in this area (ZIP 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Qualified Audiologist | TX | |
| Internal Medicine | TX | |
| - | TX | |
| General Surgery, Colorectal Surgery (Proctology) | TX | |
| O P H T H A L M O L O G Y | TX | |
| - | TX | |
| - | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX |
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