Active NPI 1164535142 Individual Practitioner Male Practitioner

Dr. Charles R Gordon , MD

Neurological Surgery • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Gordon, MD is a certified Neurological Surgery practicing in Tyler, TX. With approximately 39 years of clinical experience since graduating from Baylor College Of Medicine in 1987, Dr. Gordon delivers high-quality medical care to the local community at 2737 S BROADWAY AVE.

Dr. Gordon is affiliated with Charles R Gordon Md Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of cage or mesh device to spine bone and disc space during spine fusion, fusion of spine in lower back. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2737 S Broadway Ave

Tyler, TX 757015413

Telephone 9035926000

Fax 9035923224

Associated Practice Facility / Clinic

🏢 Charles R Gordon Md Pa Facility NPI 1346670726

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Tyler, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +13.7 yrs vs City Avg

City Avg: 25.3 Yrs

State Avg: 25.0 Yrs

Regional Practice Density

13 Specialists

Practicing in Tyler, TX (703 Statewide)

Telehealth Adoption Rate

23.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gordon (39 Years) 39 Yrs

Tyler Specialty Average (25.3 Years) 25.3 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	32	30	$176.00	$90.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$262.00	$126.38
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	22	16	$780.00	$256.46
22612 Fusion of spine in lower back	20	19	$4600.00	$1535.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$300.00	$111.17
22840 Placement of stabilizing device to back of 1 spine bone in neck	16	15	$2280.00	$722.54
22845 Placement of stabilizing device to front, 2-3 spine bone segments	13	13	$2200.00	$723.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$90.00	$49.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	121	$262.00	$119.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$375.00	$159.59
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	36	23	$780.00	$242.02
22612 Fusion of spine in lower back	22	22	$4600.00	$1311.05
72100 X-ray of lower and sacral spine, 2-3 views	22	21	$100.00	$26.87
20937 Harvest of bone fragment for spine bone graft	16	16	$1000.00	$140.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$353.00	$169.16
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	14	14	$3000.00	$549.63
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$3500.00	$485.94
22845 Placement of stabilizing device to front, 2-3 spine bone segments	11	11	$2200.00	$681.34
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$2280.00	$656.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	123	$231.19	$120.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$375.00	$161.18
22612 Fusion of spine in lower back	38	37	$4600.00	$1495.00
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	25	16	$780.00	$239.14
20937 Harvest of bone fragment for spine bone graft	23	22	$1000.00	$155.57
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	23	23	$3500.00	$520.15
22840 Placement of stabilizing device to back of 1 spine bone in neck	23	23	$2280.00	$705.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$90.00	$45.99
22614 Fusion of additional segment of spine	14	12	$1500.00	$363.02
72100 X-ray of lower and sacral spine, 2-3 views	14	13	$100.00	$28.34
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$125.00	$80.33
63048 Partial removal of spine bone with release of spinal cord and/or nerves	12	12	$610.00	$195.71
22845 Placement of stabilizing device to front, 2-3 spine bone segments	11	11	$2200.00	$672.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	78	$155.00	$120.82
99213 Established patient office or other outpatient visit, typically 15 minutes	51	48	$125.00	$85.74
72100 X-ray of lower and sacral spine, 2-3 views	32	29	$100.00	$32.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$375.00	$163.39
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	28	15	$780.00	$243.75
22612 Fusion of spine in lower back	24	24	$4600.00	$1515.44
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	17	17	$3500.00	$557.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$185.00	$166.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	99	81	$125.00	$71.75
72100 X-ray of lower and sacral spine, 2-3 views	40	37	$100.00	$36.19
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	40	25	$780.00	$251.91
22612 Fusion of spine in lower back	26	26	$4600.00	$1552.28
20937 Harvest of bone fragment for spine bone graft	24	24	$1000.00	$163.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$300.00	$104.51
72040 X-ray of upper spine, 2-3 views	16	15	$115.00	$34.68
22614 Fusion of additional segment of spine	15	11	$1500.00	$382.34
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	14	14	$4000.00	$1688.29
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$3500.00	$541.25
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	11	11	$3000.00	$468.87
22842 Placement of stabilizing device to back, 3-6 spine bone segments	11	11	$2380.00	$745.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	101	82	$125.00	$69.78
22612 Fusion of spine in lower back	32	32	$4600.00	$1534.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	31	$300.00	$101.05
20937 Harvest of bone fragment for spine bone graft	31	31	$1000.00	$162.78
72100 X-ray of lower and sacral spine, 2-3 views	31	30	$100.00	$23.81
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	29	18	$780.00	$244.84
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	22	22	$3500.00	$640.79
22614 Fusion of additional segment of spine	17	15	$1500.00	$372.91
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	13	$2380.00	$719.56
20939 Harvest of bone marrow for spine surgery graft	12	12	$180.00	$66.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	56	49	$125.00	$67.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$300.00	$98.90
22612 Fusion of spine in lower back	24	24	$4600.00	$1530.34
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	17	12	$780.00	$236.31
22614 Fusion of additional segment of spine	14	11	$1500.00	$384.35
22840 Placement of stabilizing device to back of 1 spine bone in neck	12	12	$2280.00	$747.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	53	$125.00	$67.32
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	50	46	$60.00	$18.86
22612 Fusion of spine in lower back	15	15	$4600.00	$1545.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$300.00	$93.60

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License TX H5238

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Hospital & Practice Group Affiliations

Charles R Gordon Md Pa

2737 S Broadway Ave, Tyler, TX 757015413

Phone: 9035926000

Practice Associates & Co-Workers

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

23 Associated Practitioners

Dr. Timothy Lambert , DC, FNP-C

Nurse Practitioner - Family

NPI 1073561494

Doctor of Chiropractic, Family Nurse Practitioner (Certified)

Dr. Spencer Shastid , DO

Internal Medicine

NPI 1093336695

Doctor of Osteopathic Medicine (D.O.)

Jane Davidson , NP

Nurse Practitioner

NPI 1124523840

Nurse Practitioner

Wendy Prewett

Nurse Practitioner - Acute Care

NPI 1134633266

Melissa Neal , FNP

Nurse Practitioner

NPI 1144239005

Family Nurse Practitioner

Dr. Ellisiv Lien , MD

Physical Medicine & Rehabilitation

NPI 1265670749

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location January 30, 2019

Registered at 2737 S BROADWAY AVE, TYLER, TX 757015413 (Tel: 9035926000)

✅

NPI Profile Active June 14, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 14, 2010

Registered at 1814 ROSELAND BLVD, STE. 200, TYLER, TX 757014234 (Tel: 9035926000)

📍

Updated Business Mailing Address June 14, 2010

Registered at PO BOX 6605, TYLER, TX 757116605 (Tel: 9035926000)

👤

Provider Name / Credentials Updated June 14, 2010

Recorded as CHARLES GORDON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2010

Neurological Surgery (License #H5238 in TX)

🟢

Initial NPI Registration & Enumeration August 16, 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: 1164535142

Entity Type:

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

Enumeration Date: August 16, 2006

Last Update: January 30, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 6605

Tyler, TX 757116605

Phone: 9035926000

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

⚠️ Medical Disclaimer

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