Steven Lars Gordon, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

Q8066 Issued in TX

Practice address

17183 I 45 S Ste 390
Shenandoah, TX 77385-3313

Phone

(936) 270-3680

NPI assigned

Jun 21, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive SurgeryAlso: Hand Surgery

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TMH Physicians and Surgeons, PLLCGroup PAC ID 1557586070, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sgordon158715@directhoustonmethodist.org

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

• TMH Physicians and Surgeons, PLLC

  • Plastic and Reconstructive Surgery Physician
  • Houston, TX
  • NPI 1669894796
  Medicare reassignment Care Compare group NPD

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

• Methodist Health Centers

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1184179194
  Care Compare affiliation

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235450586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17183 I 45 S STE 390",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853313",
            "telephone_number": "936-270-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17183 I 45 S STE 390",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853313",
            "telephone_number": "936-270-3680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Spurs Ln",
            "address_2": "Unit 310",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401669",
            "country_code": "US",
            "telephone_number": "210-558-7025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "STEVEN",
        "middle_name": "LARS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "Q8066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgardo Mauricio Gonzalez, CSA, LSA
• Manuel Gonzalez
• Gordley Plastic Surgery PA
• Kyle Patrick Gordley, M.D.
• Natalie Danielle Gordon, M.D.
• Andrea R Gourdine, PHD, MS, LPC, NCC
• Dante Gravino, PHARMD
• Great American Emergency Physicians, PLLC
• Greater Houston Digestive Disease Consultants
• Greater Houston Physician'S Medical

• Plastic and Reconstructive Surgery Physician in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.