DR. GORDON L MORTENSEN (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1407830862

DR. GORDON L MORTENSEN (M.D.) is a healthcare provider. based in Brookfield, Wisconsin. specializing in Pain Medicine (Anesthesiology) Physician. They hold the professional credentials M.D.. They hold a License No. 26157-020 (WI). The NPI Number for DR. GORDON L MORTENSEN (M.D.) is 1407830862

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. GORDON L MORTENSEN (M.D.)
NPI
1407830862
Phone
(262) 787-4026
Address
225 S EXECUTIVE DR
Enumeration Date
30 November 2005
Last Update Date
24 November 2017

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4146496000
Graduation Year
1981 (45 years ago)
PAC ID
7315842937
Group Practice PAC ID
6406952555
Professional Enrollment ID
I20040429000138
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. GORDON L MORTENSEN (M.D.)

  • 225, South Executive Drive, Brookfield, Waukesha County, Wisconsin, 53005, United States

    BROOKFIELD, WI 530054266

    Phone: (262) 787-4026

    Type: Mailing

  • Aurora Saint Luke's Medical Center, 2900, West Oklahoma Avenue, Southgate, Milwaukee, Milwaukee County, Wisconsin, 53215, United States

    MILWAUKEE, WI 532154330

    Phone: (414) 649-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $1,841.

Total Amount is formed as General ($1,841) + Research ($0) + Ownership ($0) = $1,841.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Abbott Laboratories ($701).

Total Amount

$1,841

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,841

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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
99213Established patient office or other outpatient visit, 20-29 minutes242124$0
99214Established patient office or other outpatient visit, 30-39 minutes7427$0
62323Injection of substance into lower spine canal using imaging guidance4935$0
99203New patient office or other outpatient visit, 30-44 minutes4848$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level3830$0
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Insurance plans in this area (ZIP 53005)

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Provider's Procedures

DR. GORDON L MORTENSEN (M.D.) performs procedures in Pain Medicine (Anesthesiology) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL PAIN MANAGEMENTWI20610Aspiration and/or injection of large joint or joint capsule3218
INTERVENTIONAL PAIN MANAGEMENTWI64493Injections of lower or sacral spine facet joint using imaging guidance3730

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: 6406952555View full group profile
NameSpecialtyState
-WI

Reviews

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Frequently asked questions

How is DR. GORDON L MORTENSEN (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. GORDON L MORTENSEN (M.D.) with NPI 1407830862.
Is DR. GORDON L MORTENSEN (M.D.) listed as active for patients and plans?
The listing shows DR. GORDON L MORTENSEN (M.D.) as active in the NPI system.
What is DR. GORDON L MORTENSEN (M.D.)'s primary classification?
Pain Medicine (Anesthesiology) Physician is the headline specialty for DR. GORDON L MORTENSEN (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. GORDON L MORTENSEN (M.D.) based?
DR. GORDON L MORTENSEN (M.D.) is tied to Brookfield, Wisconsin in the data we show; additional addresses may exist on the full record.
Why does DR. GORDON L MORTENSEN (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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