NPI Details
DR. Ely R Gordon, DO, MPH is an internal medicine in Madill, OK with 32 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Ely R Gordon, DO, MPH NPI is 1215992029. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduation Year:1994
The provider's business location address is:
500 BROOKSIDE DRIVE
PO BOX 847
MADILL, OK
ZIP 73446-847
Phone: (580) 795-5506
Fax: (580) 795-5145
The NPI 1215992029 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Hemoglobin a1c level (HCPCS:83036)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Injection, methylprednisolone sodium succinate, up to 125 mg (HCPCS:J2930)
- Urine microalbumin (protein) analysis (HCPCS:82044)
- X-ray of chest, 2 views (HCPCS:71046)
- Transitional care management services for problem of high complexity (HCPCS:99496)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Influenza vaccine split virus, preservative free (HCPCS:90662)
- Administration of influenza virus vaccine (HCPCS:G0008)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
- Pneumococcal vaccine, 23-valent (HCPCS:90732)
The enumeration date for this NPI number is 4/18/2006 and was last updated on 3/17/2018.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | DO 621 | ALABAMA | No |
| 2 | 208000000X | Pediatrics | | DO 621 | ALABAMA | No |
| 3 | 208000000X | Pediatrics | | 2006023036 | MISSOURI | No |
| 4 | 207R00000X | Internal Medicine | | 2006023036 | MISSOURI | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 110187817 | OTHER | | RR MEDICARE |
| 2 | 0411221 | OTHER | | UNITED HEALTHCARE |
| 3 | 000008373 | MEDICAID | ALABAMA | |
| 4 | 51008373 | OTHER | | BCBS |