CHARLES R GORDON (M.D.) – Neurological Surgery Physician, NPI 1164535142
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
588 NEUROSURGERY in TX
Loading map...
Provider Addresses for CHARLES R GORDON (M.D.)
Tyler Post Office, Dallas County 461, Tyler, Dallas County, Alabama, 36785, United States
TYLER, TX 757116605
Phone: (903) 592-6000
Fax: (903) 595-1592
Type: Mailing
2737, South Broadway Avenue, Tyler, Smith County, Texas, 75701, United States
TYLER, TX 757015413
Phone: (903) 592-6000
Fax: (903) 592-3224
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $57,234.
Total Amount is formed as General ($57,234) + Research ($0) + Ownership ($0) = $57,234.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Stryker Corporation ($26,397).
Total Amount
$57,234
General + Research + Ownership
Payments
16
Total payment records
General Amount
$57,234
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $26,397 |
| ZIMVIE INC. | $17,925 |
| Highridge Medical LLC | $11,930 |
| Wenzel Spine, Inc. | $292 |
| PAINTEQ LLC | $226 |
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: 2003-11-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031121000794 | I | Neurosurgery | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 137 | 121 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 41 | 41 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 36 | 23 | $0 |
| 22612 | Fusion of spine in lower back | 22 | 22 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 22 | 21 | $0 |
Insurance plans in this area (ZIP 75711)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Anesthesiology, Pain Management | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Physical Medicine And Rehabilitation | TX | |
| Physician Assistant | TX | |
| Pain Management, Anesthesiology | TX | |
| Anesthesiology, Internal Medicine | MN | |
| Interventional Pain Management, Anesthesiology | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.