COURTNEY GORDON (PA-C) – Physician Assistant, NPI 1184863342
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
323 PHYSICIAN ASSISTANT in WY
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Provider Addresses for COURTNEY GORDON (PA-C)
3810, East Grand Avenue, Laramie, Albany County, Wyoming, 82070, United States
LARAMIE, WY 820705179
Phone: (307) 721-1794
Fax: (907) 721-1795
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $113.
Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.
Last reported payment date: 2023-12-18 • Largest payer in this snapshot: Corium, LLC ($51).
Total Amount
$113
General + Research + Ownership
Payments
6
Total payment records
General Amount
$113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $51 |
| ABBVIE INC. | $46 |
| AstraZeneca Pharmaceuticals LP | $16 |
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: 2010-09-18
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 |
|---|---|---|---|---|
| I20100918000322 | I | Physician Assistant | WY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 432 | 244 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 101 | 101 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 91 | 49 | $0 |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 52 | 48 | $0 |
| 71046 | X-ray of chest, 2 views | 51 | 47 | $0 |
Insurance plans in this area (ZIP 82070)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WY | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | WY | |
| - | CA | |
| Nurse Practitioner | WY | |
| - | CO | |
| Nurse Practitioner | WY | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | WY |
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