ANTHONY GORDON – Physician Assistant, NPI 1154713063
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for ANTHONY GORDON
4311 11TH AVE NE
SUITE 200
SEATTLE, WA 981056366
Phone: (206) 616-4001
Fax: (206) 616-3889
Type: Mailing
PO BOX 1668
SHELTON, WA 985845001
Phone: (360) 427-9549
Type: Mailing
1701 N 13TH ST STE 200
SHELTON, WA 985842077
Phone: (360) 426-2653
Type: Location
711 COOK DR STE 100
ATHENS, TN 373033499
Phone: (237) 447-5854
Type: Mailing
711 COOK DR
ATHENS, TN 373033486
Phone: (423) 744-7585
Fax: (423) 744-7075
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $140.
Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Novo Nordisk Inc ($50).
Total Amount
$140
General + Research + Ownership
Payments
9
Total payment records
General Amount
$140
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $50 |
| Lilly USA, LLC | $18 |
| Bayer Healthcare Pharmaceuticals Inc. | $16 |
| ABBVIE INC. | $15 |
| Amgen Inc. | $14 |
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: 2022-03-02
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 |
|---|---|---|---|---|
| I20220302000760 | I | Physician Assistant | TN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 89 | 59 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 23 | 18 | $0 |
Insurance plans in this area (ZIP 98105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| - | TN | |
| Family Practice | CA | |
| - | TN | |
| - | NY | |
| - | TN | |
| Family Practice | IA | |
| Nurse Practitioner | TN |
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