Kenyetta Gordon, MD
NPI 1013101161 · Family Medicine Physician · Crescent City, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenyetta Gordon, MD is a Family Medicine Physician provider in Crescent City, CA (NPI 1013101161).
Provider details
- NPI number
- 1013101161
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 19863 (NV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
13 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Hemoglobin A1c Level83036 | 13 | $10 |
Typical Medicare-allowed amounts for these services range $10–$10 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 41 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 104 | 48 |
| Metoprolol Succinate | 71 | 16 |
| Lisinopril | 69 | 29 |
| Levothyroxine Sodium | 52 | 31 |
| Amlodipine Besylate | 46 | 24 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 41 | 26 |
Practice location
Mailing address
Additional practice locations (1)
- 501 N Indian RdSmith River, CA 95567-9509Phone: (707) 487-0215
Registry dates
- Enumerated
- 2007-08-31
- Last updated
- 2023-05-26
- Certified
- 2023-05-26
Frequently asked questions
- What is Kenyetta Gordon's NPI number?
- Kenyetta Gordon's National Provider Identifier (NPI) is 1013101161, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenyetta Gordon's specialty?
- Kenyetta Gordon is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kenyetta Gordon located?
- Kenyetta Gordon's practice location on file with NPPES is 1675 Northcrest Dr, Crescent City, CA 95531-8928.
- What is Kenyetta Gordon's phone number?
- The practice phone number listed in the NPPES registry for Kenyetta Gordon is (707) 464-2750.
- Does Kenyetta Gordon accept Medicare?
- Kenyetta Gordon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenyetta Gordon's NPI active?
- Yes — Kenyetta Gordon's NPI (1013101161) is active in the NPPES registry as of the last update on 2023-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.