Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538108261 Individual Practitioner Male Practitioner

Dr. Glenn Gordon , MD

General Practice • Springfield, OR

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Gordon, MD is a registered healthcare professional specializing in General Practice in Springfield, OR. Practice services are available at 2073 OLYMPIC ST under active NPI credentials.

Frequently performed procedures and clinical services include hemoglobin a1c level, blood glucose (sugar) test performed by hand-held instrument. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2073 Olympic St

Springfield, OR 97477

Telephone 5416823550
Associated Practice Facility / Clinic
🏢 Lane County Oregon Facility NPI 1326138314

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Springfield, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Springfield, OR (106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
29.5% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
27 18 $15.00 $10.57

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License OR MD15934

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License OR MD15934

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License OR MD15934

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
XPY185053 (CA)
Medicaid State Provider ID
8280034 (WA)
Medicaid State Provider ID
057141 (OR)
Commercial Insurance / Payer ID Washington L&i
76172
Commercial Insurance / Payer ID Bcbs
057221003
Commercial Insurance / Payer ID Group Health
C89984
Commercial Insurance / Payer ID Champus
A018
Commercial Insurance / Payer ID Providence
C89984
Commercial Insurance / Payer ID Pacific Source
J0475-05
Commercial Insurance / Payer ID Lipa
C89984

Practice Associates & Co-Workers

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

40 Associated Practitioners
Frances Moore , LPN

Licensed Practical Nurse

NPI 1003413758

Licensed Practical Nurse

Vivian Dzata , NP

Nurse Practitioner - Pediatrics

NPI 1023245024

Nurse Practitioner

Becky Nagy , RN

Registered Nurse - Community Health

NPI 1023247673

Registered Nurse

Sharon Torres

Student in an Organized Health Care Education/Training Program

NPI 1023857018
Shannon Lawley , LPN

Licensed Practical Nurse

NPI 1033589718

Licensed Practical Nurse

NPI 1043088305

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location May 15, 2018

Registered at 2073 OLYMPIC ST, SPRINGFIELD, OR 97477 (Tel: 5416823550)

NPI Profile Active June 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2014

Registered at 2073 OLYMPIC ST, SPRINGFIELD, OR 974773413 (Tel: 5416823550)

📍
Updated Business Mailing Address June 10, 2014

Registered at 2073 OLYMPIC ST, SPRINGFIELD, OR 974773413 (Tel: 5416823550)

👤
Provider Name / Credentials Updated June 10, 2014

Recorded as GLENN GORDON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2014

Emergency Medicine (License #MD15934 in OR)

🟢
Initial NPI Registration & Enumeration June 06, 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: 1538108261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2006
Last Update: May 15, 2018
Sole Proprietor: No

Mailing Address

2073 Olympic St

Springfield, OR 974773413

Phone: 5416823550

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.