Jacob Gordner, MD
NPI 1124762026 · Student in an Organized Health Care Education/Training Program · Stanford, CA
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Gordner, MD is a Student in an Organized Health Care Education/Training Program provider in Stanford, CA (NPI 1124762026).
Provider details
- NPI number
- 1124762026
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- A175900 (CA)
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,569 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) |
|---|---|---|
| Ultrasound Scan of Head and Neck Soft Tissue76536 | 205 | $43 |
| Ct Scan of Abdomen and Pelvis With Contrast74177 | 156 | $86 |
| Ct Scan of Abdomen and Pelvis Without Contrast74176 | 129 | $82 |
| Ct Scan of Blood Vessels of Chest With Contrast71275 | 109 | $86 |
| Complete Ultrasound Scan Behind Abdominal Cavity76770 | 78 | $35 |
| Limited Ultrasound Scan of Abdomen76705 | 59 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-26
- Last updated
- 2022-04-26
- Certified
- 2022-04-26
Frequently asked questions
- What is Jacob Gordner's NPI number?
- Jacob Gordner's National Provider Identifier (NPI) is 1124762026, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Gordner's specialty?
- Jacob Gordner is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jacob Gordner located?
- Jacob Gordner's practice location on file with NPPES is 300 Pasteur Dr, Stanford, CA 94305-2296.
- What is Jacob Gordner's phone number?
- The practice phone number listed in the NPPES registry for Jacob Gordner is (650) 725-1812.
- Does Jacob Gordner accept Medicare?
- Jacob Gordner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Gordner's NPI active?
- Yes — Jacob Gordner's NPI (1124762026) is active in the NPPES registry as of the last update on 2022-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.