RYAN DOUGLAS GORDON (MD) – Vascular Surgery Physician, NPI 1265963367
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
179 VASCULAR SURGERY in VA
Provider Addresses for RYAN DOUGLAS GORDON (MD)
7900 SHRADER RD
HENRICO, VA 232944215
Phone: (804) 288-1953
Type: Mailing
8237 Meadowbridge Rd
Mechanicsville, VA 231162329
Phone: (804) 288-1953
Fax: (804) 282-1046
Type: Location
267 Medical Park Blvd
Petersburg, VA 238059337
Phone: (804) 288-1953
Fax: (804) 282-1046
Type: Location
1396B Tappahannock Blvd
Tappahannock, VA 225609309
Phone: (804) 288-1953
Fax: (804) 282-1046
Type: Location
13460 Tredegar Lake Pkwy
Midlothian, VA 231124070
Phone: (804) 288-1953
Fax: (804) 282-1046
Type: Location
6031 Staples Mill Rd
Richmond, VA 232284923
Phone: (804) 264-8782
Fax: (804) 266-9214
Type: Location
417 N 11th St
Richmond, VA 232985024
Phone: (804) 828-9849
Fax: (804) 828-2744
Type: Location
4755 Ogletown Stanton Rd
Newark, DE 197182200
Phone: (302) 733-1042
Type: Location
1840 CANDLEWOOD CT UNIT 101
CHARLOTTESVILLE, VA 229036617
Phone: (804) 814-3601
Type: Mailing
4755 OGLETOWN STANTON RD
NEWARK, DE 197182200
Phone: (302) 733-1042
Type: Location
8135 FOREST LN # 515057
DALLAS, TX 752302472
Phone: (804) 288-1953
Fax: (804) 282-1046
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $8,563.
Total Amount is formed as General ($8,563) + Research ($0) + Ownership ($0) = $8,563.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Medtronic, Inc. ($5,210).
Total Amount
$8,563
General + Research + Ownership
Payments
56
Total payment records
General Amount
$8,563
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $5,210 |
| Cook Incorporated | $1,394 |
| W. L. Gore & Associates, Inc. | $787 |
| Silk Road Medical, Inc. | $275 |
| Janssen Scientific Affairs, LLC | $240 |
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: 2025-06-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250612002906 | I | Vascular Surgery | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23294)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| - | VA | |
| Vascular Surgery | VA | |
| Physician Assistant | VA | |
| Physician Assistant | VA | |
| Physician Assistant | VA |
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