Kimberly Gordon, PA-C
NPI 1346562147 · Physician Assistant · Waxhaw, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Gordon, PA-C is a Physician Assistant provider in Waxhaw, NC (NPI 1346562147).
Provider details
- NPI number
- 1346562147
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA9105103 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
461 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) |
|---|---|---|
| Assessment of Emotional Or Behavioral Problems96127 | 172 | $4 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 144 | $101 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 126 | $13 |
| Psychiatric Diagnostic Evaluation With Medical Services90792 | 19 | $157 |
Typical Medicare-allowed amounts for these services range $4–$157 (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 · 23 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Duloxetine Hcl | 82 | 19 |
| Quetiapine Fumarate | 71 | 14 |
| Trazodone Hcl | 68 | 17 |
| Lamotrigine | 64 | 14 |
| Buspirone Hcl | 63 | 16 |
| Bupropion Hclbrand: Bupropion Xl | 60 | 15 |
| Venlafaxine Hclbrand: Venlafaxine Hcl Er |
Practice location
Mailing address
Additional practice locations (3)
- 3131 N Mcmullen Booth RdClearwater, FL 33761-2008Phone: (727) 726-8871Fax: (727) 726-8571
- 1401 Matthews Township Pkwy Ste 320Matthews, NC 28105-5403Phone: (704) 384-1261
- 9623 Redstone Dr Ste 300Indian Land, SC 29707Phone: (803) 615-0880
Registry dates
- Enumerated
- 2010-02-20
- Last updated
- 2023-03-30
- Certified
- 2023-03-30
Frequently asked questions
- What is Kimberly Gordon's NPI number?
- Kimberly Gordon's National Provider Identifier (NPI) is 1346562147, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Gordon's specialty?
- Kimberly Gordon is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kimberly Gordon located?
- Kimberly Gordon's practice location on file with NPPES is 9929 Rea Rd Ste 201, Waxhaw, NC 28173-6439.
- What is Kimberly Gordon's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Gordon is (704) 316-1650.
- Does Kimberly Gordon accept Medicare?
- Kimberly Gordon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Gordon's NPI active?
- Yes — Kimberly Gordon's NPI (1346562147) is active in the NPPES registry as of the last update on 2023-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.