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Active NPI 1548571060 Individual Practitioner Female Practitioner

Dr. Diandra Kareen Gordon , DPM

Podiatrist • St Augustine, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Diandra Gordon, DPM is a certified Podiatrist practicing in St Augustine, FL. With approximately 16 years of clinical experience since graduating from Barry University School Of Podiatric Medicine in 2010, Dr. Gordon delivers high-quality medical care to the local community at 1629 REDSTONE CT.

Dr. Gordon accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of fingernails or toenails, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1629 Redstone Ct

St Augustine, FL 320925028

Telephone 9045347061
Fax 9046598331
Associated Practice Facility / Clinic
🏢 Abc Feet Inc Facility NPI 1114487311

Medicare Profile & Education

Medical School

Barry University School Of Podiatric Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in St Augustine, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -5.4 yrs vs City Avg
City Avg: 21.4 Yrs
State Avg: 25.3 Yrs
Regional Practice Density
10 Specialists

Practicing in St Augustine, FL (818 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
25.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gordon (16 Years) 16 Yrs
St Augustine Specialty Average (21.4 Years) 21.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails
1,337 498 $53.68 $42.92
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
1,220 417 $155.70 $123.98
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
280 92 $125.31 $82.84
99344 New patient home visit, typically 1 hour
217 217 $173.22 $138.38
29581 Application of vein wound compression bandages on lower leg, ankle, and foot
115 45 $103.34 $53.43
11042 Removal of skin and tissue, 20.0 sq cm or less
60 21 $155.34 $91.05
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
21 12 $477.08 $381.20
11730 Simple separation of fingernail or toenail from nail bed, first nail
20 19 $137.64 $107.57
11043 Removal of muscle and/or tissue, 20.0 sq cm or less
16 11 $284.21 $226.06

Medical Specialties & State Licenses

CMS Verified: 2026-01-11
Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License FL PO3624

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
103938700 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location January 11, 2026

Registered at 1629 REDSTONE CT, ST AUGUSTINE, FL 320925028 (Tel: 9045347061)

📍
Updated Practice Location June 15, 2020

Registered at 1126 UNIVERSITY BLVD N, JACKSONVILLE, FL 322118850 (Tel: 9047655554)

📍
Updated Practice Location May 21, 2019

Registered at 1740 EDGEWOOD AVE W, JACKSONVILLE, FL 322083260 (Tel: 9047655554)

NPI Profile Active July 12, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address July 12, 2017

Registered at 1629 REDSTONE CT, ST AUGUSTINE, FL 320925028 (Tel: 9043890346)

📍
Updated Practice Location July 12, 2017

Registered at 1205 BEACH BLVD, JACKSONVILLE BEACH, FL 322503405 (Tel: 9043890346)

👤
Provider Name / Credentials Updated July 12, 2017

Recorded as DIANDRA GORDON, DPM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2017

Podiatrist (License #PO3624 in FL)

NPI Profile Active March 27, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2014

Registered at 1205 BEACH BLVD, JACKSONVILLE BEACH, FL 322503405 (Tel: 9043890346)

📍
Updated Business Mailing Address March 27, 2014

Registered at 1205 BEACH BLVD, JACKSONVILLE BEACH, FL 322503405 (Tel: 9043890346)

👤
Provider Name / Credentials Updated March 27, 2014

Recorded as DIANDRA GORDON, DPM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2014

Podiatrist (License #PO3624 in FL)

🟢
Initial NPI Registration & Enumeration June 30, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548571060
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2010
Last Update: January 11, 2026
Sole Proprietor: No

Mailing Address

1629 Redstone Ct

St Augustine, FL 320925028

Phone: 9045347061

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.