JENNIFER CATHERINE GORDON (M.D) – Gynecologic Oncology Physician, NPI 1417362914

JENNIFER CATHERINE GORDON (M.D) is a healthcare provider. based in Bothell, Washington. specializing in GYNECOLOGICAL ONCOLOGY, OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D. They hold a License No. MD214260 (OR). The NPI Number for JENNIFER CATHERINE GORDON (M.D) is 1417362914

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER CATHERINE GORDON (M.D)
NPI
1417362914
Phone
Not provided
Address
22903 53RD AVE SE
Enumeration Date
24 June 2014
Last Update Date
4 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5416835001
Graduation Year
2016 (10 years ago)
PAC ID
9436571593
Group Practice PAC ID
7214924406
Professional Enrollment ID
I20231016001072
Address ID
OR974016043EU520XXPKWY400
Telehealth
Yes

Contacts

Other Endpoint
Soarian
Secure Messaging
uhclevelandmedicalcenter@uhhs.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:11State licenses:2Other namesUpdated within 12 months

77 GYNECOLOGICAL ONCOLOGY in OH

Provider Addresses for JENNIFER CATHERINE GORDON (M.D)

  • 22903 53RD AVE SE

    BOTHELL, WA 980218012

    Phone:

    Type: Mailing

  • 11100 EUCLID AVE

    CLEVELAND, OH 441061716

    Phone: (216) 844-3951

    Type: Location

  • 520 COUNTRY CLUB ROAD

    EUGENE, OR 97401

    Phone: (541) 683-5001

    Fax: (541) 431-9860

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $2,143.

Total Amount is formed as General ($2,143) + Research ($0) + Ownership ($0) = $2,143.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,046).

Total Amount

$2,143

General + Research + Ownership

Payments

10

Total payment records

General Amount

$2,143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-10-16

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
I20231016001072IGynecological OncologyORTBD

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
99205New patient office or other outpatient visit, 60-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 98021)

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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: 7214924406View full group profile
NameSpecialtyState
Physician AssistantOR
Nurse PractitionerWA
Nurse PractitionerOR
Hospice/Palliative Care, Gynecological OncologyOR
H E M A T O L O G Y/ O N C O L O G YOR
Nurse PractitionerTX
Medical OncologyOR
H E M A T O L O G Y/ O N C O L O G YOR
Physician AssistantOR
Physician AssistantOR

Reviews

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Frequently asked questions

What NPI should I save for JENNIFER CATHERINE GORDON (M.D)?
Save NPI 1417362914 if you need a stable reference for JENNIFER CATHERINE GORDON (M.D).
Is JENNIFER CATHERINE GORDON (M.D) active in the national directory?
JENNIFER CATHERINE GORDON (M.D)'s public NPI profile is in an active state.
What kind of provider is JENNIFER CATHERINE GORDON (M.D)?
The page reflects Gynecologic Oncology Physician for JENNIFER CATHERINE GORDON (M.D). Clinical services aligned with this taxonomy classification.
What location metadata exists for JENNIFER CATHERINE GORDON (M.D)?
The page summarizes Bothell, Washington for JENNIFER CATHERINE GORDON (M.D); expand the address list for detail.
Is JENNIFER CATHERINE GORDON (M.D) a real provider?
This page reflects official NPPES data for NPI 1417362914. Always confirm identity and privileges with the practice and licensing boards.

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