DR. ROY G. GORDON (O.D.) – Optometrist, NPI 1669749545
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,098 OPTOMETRY in WA
Provider Addresses for DR. ROY G. GORDON (O.D.)
2100 LITTLE MOUNTAIN LN UNIT 101
MOUNT VERNON, WA 982748752
Phone: (360) 416-6735
Type: Mailing
2100 LITTLE MOUNTAIN LN
MOUNT VERNON, WA 982748752
Phone: (360) 416-6735
Fax: (360) 424-6954
Type: Location
1611 8TH AVE N
UNIT 101
SEATTLE, WA 981096234
Phone: (425) 905-9353
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $107.
Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.
Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($66).
Total Amount
$107
General + Research + Ownership
Payments
4
Total payment records
General Amount
$107
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $66 |
| Amgen Inc. | $41 |
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: 2011-12-27
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 |
|---|---|---|---|---|
| I20111227000068 | I | Optometry | WA | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 468 | 467 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 255 | 201 | $0 |
| 92004 | New patient complete exam of visual system | 139 | 139 | $0 |
| 92012 | Established patient problem focused exam of visual system | 86 | 77 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 59 | 54 | $0 |
Insurance plans in this area (ZIP 98274)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WA | |
| O P T O M E T R Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P T O M E T R Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P T O M E T R Y | WA | |
| - | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P T O M E T R Y | CA |
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