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Active NPI 1497752208 Individual Practitioner Male Practitioner

Dr. Kenneth Bryce Gordon , OD

Optometrist • Richmond, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Gordon, OD is a certified Optometrist practicing in Richmond, VA. With approximately 30 years of clinical experience since graduating from Pennsylvania College Of Optometry in 1996, Dr. Gordon delivers high-quality medical care to the local community at 4811 S LABURNUM AVE.

Dr. Gordon is affiliated with Dr Clifford Roffis And Associates Odpc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4811 S Laburnum Ave

Richmond, VA 232312713

Telephone 8042261144
Fax 8042369026
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Richmond, VA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +12.1 yrs vs City Avg
City Avg: 17.9 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
96 Specialists

Practicing in Richmond, VA (1522 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
40.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gordon (30 Years) 30 Yrs
Richmond Specialty Average (17.9 Years) 17.9 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
92014 Established patient complete exam of visual system
249 241 $160.00 $122.08
92012 Established patient problem focused exam of visual system
59 49 $130.00 $86.46
92133 Imaging of optic nerve
39 34 $100.00 $33.40
92250 Photography of the retina
37 37 $100.00 $35.86
92083 Exam of visual field with extended testing
25 24 $142.80 $61.48
92004 New patient complete exam of visual system
20 20 $180.00 $144.45

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License VA 0618000495

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
9232362 (VA)
Commercial Insurance / Payer ID Railroad Medicare Pin
DA5536 (VA)
Commercial Insurance / Payer ID Railroad Medicare Upin
U84594 (VA)
Commercial Insurance / Payer ID Railroad Medicare Tax Id
541783118 (VA)
Commercial Insurance / Payer ID Medicare Tax Id
541783118
Commercial Insurance / Payer ID Railroad Provider
P00068065 (VA)

Hospital & Practice Group Affiliations

Dr Clifford Roffis And Associates Odpc

4811 S Laburnum Ave, Henrioc, VA 232312713

Dr Clifford Roffis And Associates Odpc

4811 S Laburnum Ave, Richmond, VA 232312713

Phone: 8042261144107

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1114991460

Doctor of Optometry

NPI 1942197306

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2013

Registered at 4811 S LABURNUM AVE, RICHMOND, VA 232312713 (Tel: 8042261144)

📍
Updated Business Mailing Address May 21, 2013

Registered at 4811 S LABURNUM AVE, RICHMOND, VA 232312713 (Tel: 8042261144)

👤
Provider Name / Credentials Updated May 21, 2013

Recorded as KENNETH GORDON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2013

Optometrist (License #0618000495 in VA)

🟢
Initial NPI Registration & Enumeration July 07, 2005

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: 1497752208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2005
Last Update: May 21, 2013
Sole Proprietor: No

Mailing Address

4811 S Laburnum Ave

Richmond, VA 232312713

Phone: 8042261144

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.