Kenneth Gordon, M.D.
NPI 1790865806 · Dermatology Physician · Wauwatosa, WI
Enrolled with Medicare as Practitioner - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Gordon, M.D. is a Dermatology Physician provider in Wauwatosa, WI (NPI 1790865806).
Provider details
- NPI number
- 1790865806
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036086146 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,094 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Application of Ultraviolet Light to Skin96900 | 301 | $24 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 224 | $61 |
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 206 | $2 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 121 | $90 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 96 | $47 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ketoconazole | 121 | 54 |
| Clobetasol Propionate | 112 | 40 |
| Triamcinolone Acetonide | 96 | 49 |
| Fluocinonide | 75 | 29 |
| Methotrexate Sodiumbrand: Methotrexate | 37 | 11 |
| Risankizumab-Rzaabrand: Skyrizi | 36 | — |
| Tacrolimus | 34 | 16 |
| Ixekizumabbrand: Taltz Autoinjector |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$54,543 across 141 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 9200 W Wisconsin AveDepartment of DermatologyMilwaukee, WI 53226-3522Phone: (414) 805-3666Fax: (414) 805-5323
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2022-07-26
- Certified
- 2022-07-26
Frequently asked questions
- What is Kenneth Gordon's NPI number?
- Kenneth Gordon's National Provider Identifier (NPI) is 1790865806, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Gordon's specialty?
- Kenneth Gordon is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Gordon located?
- Kenneth Gordon's practice location on file with NPPES is 10000 W Bluemound Rd, Wauwatosa, WI 53226-4321.
- What is Kenneth Gordon's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Gordon is (414) 454-8000.
- Does Kenneth Gordon accept Medicare?
- Kenneth Gordon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Gordon's NPI active?
- Yes — Kenneth Gordon's NPI (1790865806) is active in the NPPES registry as of the last update on 2022-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.