Active NPI 1437328002 Individual Practitioner Male Practitioner

Dr. Kyle Patrick Gordley , MD

Surgery - Plastic and Reconstructive Surgery • Shenandoah, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Gordley, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Shenandoah, TX. With approximately 24 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 2002, Dr. Gordley delivers high-quality medical care to the local community at 129 VISION PARK BLVD STE 210.

Dr. Gordley accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, graft using patient's fat removed by liposuction and inserted into trunk, breasts, scalp, arms, or legs, 50.0 cc or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

129 Vision Park Blvd Ste 210

Shenandoah, TX 773843024

Telephone 8328135839

Fax 8328138512

Associated Practice Facility / Clinic

🏢 Gordley Plastic Surgery Pa Facility NPI 1083885891

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Shenandoah, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +4.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 24.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Shenandoah, TX (402 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gordley (24 Years) 24 Yrs

Shenandoah Specialty Average (20.0 Years) 20.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	45	41	$270.00	$86.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$600.00	$159.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	30	28	$270.00	$86.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$600.00	$159.53
15771 Graft using patient's fat removed by liposuction and inserted into trunk, breasts, scalp, arms, or legs, 50.0 cc or less	12	12	$3032.00	$367.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	25	$270.00	$87.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$600.00	$161.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$270.00	$89.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$600.00	$163.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$270.00	$72.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$600.00	$159.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	31	$270.00	$71.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$600.00	$158.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	29	25	$270.00	$66.41
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$750.00	$188.57
20926 Tissue graft	13	11	$1575.00	$216.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$750.00	$185.45
99213 Established patient office or other outpatient visit, typically 15 minutes	25	20	$270.00	$63.40
20926 Tissue graft	13	11	$1575.00	$228.62

Medical Specialties & State Licenses

CMS Verified: 2020-08-11

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License TX M7222

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

336662701 (TX)

Commercial Insurance / Payer ID Bc/bs

8BD300 (TX)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 14, 2019

Registered at 129 VISION PARK BLVD STE 210, SHENANDOAH, TX 773843024 (Tel: 8328135839)

📍

Updated Business Mailing Address February 14, 2019

Registered at 129 VISION PARK BLVD STE 210, SHENANDOAH, TX 773843024 (Tel: 8328135839)

✅

NPI Profile Active November 23, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 23, 2011

Registered at 4850 W PANTHER CREEK DR STE 105, THE WOODLANDS, TX 773813595 (Tel: 8322821233)

📍

Updated Business Mailing Address November 23, 2011

Registered at PO BOX 128, BELLAIRE, TX 774020128 (Tel: 2818333330)

👤

Provider Name / Credentials Updated November 23, 2011

Recorded as KYLE GORDLEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2011

Surgery (License #M7222 in TX)

🟢

Initial NPI Registration & Enumeration February 27, 2008

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: 1437328002

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 27, 2008

Last Update: August 11, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

129 Vision Park Blvd Ste 210

Shenandoah, TX 773843024

Phone: 8328135839

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.