Scott William Gordon, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1200396 Issued in KS

Practice address

203 Watson St Ste 300
Pratt, KS 67124-3092

Phone

(620) 672-1002

Fax

(620) 450-1741

NPI assigned

Mar 10, 2010

Last updated

Mar 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pratt Regional Medical Center CorporationGroup PAC ID 1355253238, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pratt Regional Medical Center Hospital, Pratt, KS, CCN 170027
• Meade District Hospital Hospital, Meade, KS, CCN 171321
• Hospital District #6 Patterson Health Center Hospital, Anthony, KS, CCN 171346
• Medicine Lodge Memorial Hospital Hospital, Medicine Lodge, KS, CCN 171334
• Southwest Medical Center Hospital, Liberal, KS, CCN 170068

Merit-based Incentive Payment System (MIPS)

Final score

89.83 of 100Reported as group

Quality

82.73

Promoting interoperability

100

Improvement activities

40

Cost

83.38

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scott.gordon.1@14930.direct.athenahealth.com
• Direct secure messaging: scott.gordon@khindirect.org

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Pratt Regional Medical Center Corporation

  • Medicare Defined Swing Bed Hospital Unit
  • Pratt, KS
  • NPI 1407909963

  Corporate Director

  CMS ownership
• Pratt Regional Medical Center Corporation

  dba Pratt Regional Medical Center Home Health Agency

  • Home Health Agency
  • Pratt, KS
  • NPI 1508948449

  Corporate Director

  CMS ownership
• Pratt Regional Medical Center Corporation

  dba Pratt Regional Medical Center

  • Rural Acute Care Hospital
  • Pratt, KS
  • NPI 1578596904

  Corporate Director

  CMS ownership
• Pratt Regional Medical Center Corporation

  dba Pratt Internal Medicine Group

  • Rural Health Clinic/Center
  • Pratt, KS
  • NPI 1881025393

  Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pratt Regional Medical Center Corporation

  dba Pratt Regional Medical Center

  • Rural Acute Care Hospital
  • Pratt, KS
  • NPI 1578596904
  Medicare reassignment Care Compare group NPD
• Pratt Regional Medical Center Corporation

  dba PRMC Infusion and Wound Care Clinic

  • Infusion Therapy Clinic/Center
  • Pratt, KS
  • NPI 1689246753
  NPD
• Pratt Regional Medical Center Corporation

  dba Pratt Internal Medicine Group

  • Rural Health Clinic/Center
  • Pratt, KS
  • NPI 1881025393
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital District No 6 of Harper County Kansas

  dba Patterson Health Center

  • Critical Access Hospital
  • Anthony, KS
  • NPI 1467427674
  Care Compare affiliation
• Hospital District No 6 of Harper County Kansas

  • Critical Access Hospital
  • Harper, KS
  • NPI 1740709955
  Care Compare affiliation
• Meade Hospital District

  • Critical Access Hospital
  • Meade, KS
  • NPI 1922004076
  Care Compare affiliation
• Medicine Lodge Memorial Hospital

  • Critical Access Hospital
  • Medicine Lodge, KS
  • NPI 1407887193
  Care Compare affiliation
• Medicine Lodge Memorial Hospital

  dba Medicine Lodge Memorial Hospital Ambulance Service

  • Ambulance
  • Medicine Lodge, KS
  • NPI 1609979004

  Hospital

  Care Compare affiliation
• Pratt Regional Medical Center Corporation

  dba Pratt Regional Medical Center

  • Rural Acute Care Hospital
  • Pratt, KS
  • NPI 1578596904
  Care Compare affiliation
• Southwest Medical Center

  • General Acute Care Hospital
  • Liberal, KS
  • NPI 1538109251
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1164745824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WATSON ST STE 300",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671243092",
            "telephone_number": "620-672-1002",
            "fax_number": "620-450-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WATSON ST STE 300",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671243092",
            "telephone_number": "620-672-1002",
            "fax_number": "620-450-1741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Indian Wells Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883104611",
            "country_code": "US",
            "telephone_number": "575-434-0639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1206 W Frontview St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Dodge City",
            "state": "KS",
            "postal_code": "678012095",
            "country_code": "US",
            "telephone_number": "620-225-7744",
            "fax_number": "620-225-5522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Commodore St",
            "address_purpose": "LOCATION",
            "city": "Pratt",
            "state": "KS",
            "postal_code": "671242903",
            "country_code": "US",
            "telephone_number": "620-450-1186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "SCOTT",
        "middle_name": "WILLIAM",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-10",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "345",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0738",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KS",
            "license": "1200396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott.gordon.1@14930.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1206 W Frontview St Ste 203",
            "city": "Dodge City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678012095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott.gordon.1@14930.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "203 Watson St Ste 300",
            "city": "Pratt",
            "state": "KS",
            "country_code": "US",
            "postal_code": "671243092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott.gordon.1@14930.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 Commodore St",
            "city": "Pratt",
            "state": "KS",
            "country_code": "US",
            "postal_code": "671242903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Charles Gunnerson, CRNA
• Andrew P Gwennap
• Alec Joseph Hampton, DO
• Kylie Hampton

• Foot & Ankle Surgery Podiatrist in Pratt, KS
• Providers in Pratt, KS by specialty
• Foot & Ankle Surgery Podiatrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.