Gordley Plastic Surgery PA
NPI 1083885891 · Plastic and Reconstructive Surgery Physician · Shenandoah, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gordley Plastic Surgery PA is a Plastic and Reconstructive Surgery Physician organization in Shenandoah, TX (NPI 1083885891).
Provider details
- NPI number
- 1083885891
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kyle Gordley, M.d./Owner(832) 813-5839
- License
- M7222 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Kyle P Gordley MD
- Other name
- Kyle P Gordley MD
Registry dates
- Enumerated
- 2008-03-19
- Last updated
- 2020-08-11
- Certified
- 2020-08-11
Frequently asked questions
- What is Gordley Plastic Surgery PA's NPI number?
- Gordley Plastic Surgery PA's National Provider Identifier (NPI) is 1083885891, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gordley Plastic Surgery PA?
- Gordley Plastic Surgery PA is classified in the NPPES registry as Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Gordley Plastic Surgery PA located?
- Gordley Plastic Surgery PA's practice location on file with NPPES is 129 Vision Park Blvd Ste 210, Shenandoah, TX 77384-3024.
- What is Gordley Plastic Surgery PA's phone number?
- The practice phone number listed in the NPPES registry for Gordley Plastic Surgery PA is (832) 813-5839.
- Does Gordley Plastic Surgery PA accept Medicare?
- Gordley Plastic Surgery PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gordley Plastic Surgery PA?
- The authorized official listed on Gordley Plastic Surgery PA's NPPES record is Kyle Gordley, M.d./Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gordley Plastic Surgery PA's NPI active?
- Yes — Gordley Plastic Surgery PA's NPI (1083885891) is active in the NPPES registry as of the last update on 2020-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.