DR. JENNIFER ROSE GORDON (MD) – Dermatology Physician, NPI 1073748281

DR. JENNIFER ROSE GORDON (MD) is a healthcare provider. based in Austin, Texas. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. P5367 (TX). The NPI Number for DR. JENNIFER ROSE GORDON (MD) is 1073748281

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER ROSE GORDON (MD)
NPI
1073748281
Phone
(512) 615-2730
Address
5301 DAVIS LN STE 100
Enumeration Date
18 May 2009
Last Update Date
6 February 2019

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
5123283376
Graduation Year
2009 (17 years ago)
PAC ID
0941427199
Group Practice PAC ID
6305817230
Professional Enrollment ID
I20140812000154
Address ID
TX787494061AU5301XLNXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

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Provider Addresses for DR. JENNIFER ROSE GORDON (MD)

  • Davis Lane, Village at Western Oaks, Austin, Travis County, Texas, 78749, United States

    AUSTIN, TX 787494061

    Phone: (512) 615-2730

    Fax: (512) 566-3612

    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 336 Open Payments records for all available years, with a total value of $88,946.

Total Amount is formed as General ($88,946) + Research ($0) + Ownership ($0) = $88,946.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($83,656).

Total Amount

$88,946

General + Research + Ownership

Payments

336

Total payment records

General Amount

$88,946

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2014-08-12

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
I20140812000154IDermatologyTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths780133$0
99214Established patient office or other outpatient visit, 30-39 minutes278197$0
17000Destruction of precancer skin growth, 1 growth232163$0
17110Destruction of skin growth, 1-14 growths176121$0
99213Established patient office or other outpatient visit, 20-29 minutes10077$0
View full utilization report →

Insurance plans in this area (ZIP 78749)

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Provider's Procedures

DR. JENNIFER ROSE GORDON (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYTX17003Destruction of 2-14 skin growths680111

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: 6305817230View full group profile
NameSpecialtyState
Dermatology, Micrographic Dermatologic Surgery (Mds)WI
D E R M A T O L O G YTX
-TX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YLA
D E R M A T O L O G YTX
D E R M A T O L O G YMI
Dermatology, Micrographic Dermatologic Surgery (Mds)TX
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

How do I look up DR. JENNIFER ROSE GORDON (MD) by NPI?
Use NPI 1073748281 when you need to reference DR. JENNIFER ROSE GORDON (MD) in forms, claims, or directories.
Is DR. JENNIFER ROSE GORDON (MD) currently active in the NPI registry?
CMS-published data lists DR. JENNIFER ROSE GORDON (MD) as an active registrant.
What does DR. JENNIFER ROSE GORDON (MD) treat or focus on?
Patients typically see DR. JENNIFER ROSE GORDON (MD) under the specialty Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does DR. JENNIFER ROSE GORDON (MD) practice in Texas?
You will see Austin, Texas on file for DR. JENNIFER ROSE GORDON (MD) alongside any extra practice locations.
Is DR. JENNIFER ROSE GORDON (MD) a real provider?
This page reflects official NPPES data for NPI 1073748281. Always confirm identity and privileges with the practice and licensing boards.

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