Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598716698 Individual Practitioner Female Practitioner

Dr. Marilyn Gordon , MD

Pediatrics • Brockton, MA

Professional Overview & Biography Verified Profile Summary

Dr. Marilyn Gordon, MD is a registered healthcare professional specializing in Pediatrics in Brockton, MA. Practice services are available at 65 LIBBY ST under active NPI credentials.

Frequently performed procedures and clinical services include hemoglobin a1c level, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

65 Libby St

Brockton, MA 023022992

Telephone 5085846060
Fax 5085844949
Associated Practice Facility / Clinic
🏢 Brockton Pediatrics Facility NPI 1629001904

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Brockton, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
44 Specialists

Practicing in Brockton, MA (2760 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
20 16 $25.00 $9.52

Medical Specialties & State Licenses

CMS Verified: 2024-12-13
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 81230

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MA 81230

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3144500 (MA)
Commercial Insurance / Payer ID Tufts Health
761592 (MA)
Commercial Insurance / Payer ID Harvard Pilgrim
65042 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1164412839

Doctor of Medicine (M.D.)

Patricia Boucher , NP

Pediatrics - Adolescent Medicine

NPI 1194037119

Nurse Practitioner

NPI 1568664795

Doctor of Medicine (M.D.)

Dr. Yajie Yu , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1598111056

Doctor of Medicine (M.D.)

Jessica Gatto , RN, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1700120839

Registered Nurse, CPNPPC

NPI 1720441132

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 13, 2024

Registered at 65 LIBBY ST, BROCKTON, MA 023022992 (Tel: 5085846060)

📍
Updated Business Mailing Address December 13, 2024

Registered at 65 LIBBY ST, BROCKTON, MA 023022992 (Tel: 5085846060)

NPI Profile Active March 27, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2012

Registered at 107A COUNTY RD, N FALMOUTH, MA 025562019 (Tel: 5085645522)

📍
Updated Business Mailing Address March 27, 2012

Registered at 107A COUNTY RD, N FALMOUTH, MA 025562019 (Tel: 5085645522)

👤
Provider Name / Credentials Updated March 27, 2012

Recorded as MARILYN GORDON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2012

Internal Medicine (License #81230 in MA)

🟢
Initial NPI Registration & Enumeration May 13, 2006

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: 1598716698
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2006
Last Update: December 13, 2024
Sole Proprietor: No

Mailing Address

65 Libby St

Brockton, MA 023022992

Phone: 5085846060

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.