NPIMap

Charles R Gordon MD PA

A Medicare group practice based in Tyler, TX: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8729992052), with 49 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8729992052The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Interventional Pain Management, DME Supplier - Physician - Neurosurgery, Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
4
Group size
24 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 8 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20031206000131 TX Part B Supplier - Clinic/Group Practice 1982717955
O20210223002279 TX DME Supplier - Physician - Interventional Pain Management 1720513328
O20100930094201 TX DME Supplier - Physician - Neurosurgery 1982717955
O20160128000670 TX DME Supplier - Physician - Neurosurgery 1144694902

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 49

Clinicians who reassign their Medicare benefits to this group (49) or whom Care Compare lists as members (24).

Sources for this page