Physician

Charles Fox Gordon, MD

According to 2025 Medicare claims, Charles Gordon, MD (NPI: 1649243890) practices interventional pain management (ipm) in the Albany-Schenectady-Troy, NY market, with the plurality of this provider's patient population coming from Saratoga, NY. This provider's primary affiliated billing organization is NEW YORK PAIN MANAGEMENT PLLC (NPI: 1407884455; TIN: 421554476) and primary practice location at 12804-3013.

Gordon's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 386 traditional Medicare patients, billed 4,453 HCPCS/CPT codes, and received $224,360 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 18 prescription claims totaling $408 in drug costs, led by Gabapentin (Gabapentin). 2020 DME data shows 11 claims. Open Payments data shows 31 records totaling $1,009. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $14,472 to $408. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$120K$241K2015 Medicare payment: $218,656 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $234,321 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $152,332 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $214,620 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $202,434 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $212,975 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $237,341 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $240,922 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $196,999 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $224,360 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153766,092$218,656
20163944,895$234,321
20173662,267$152,332
20184013,179$214,620
20193783,818$202,434
20203363,907$212,975
20213993,726$237,341
20224533,517$240,922
20233492,658$196,999
20243864,453$224,360

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$7.2K$14K2015 Drug cost: $14,472 (USD; Tot_Drug_Cst)2016 Drug cost: $10,604 (USD; Tot_Drug_Cst)2017 Drug cost: $12,327 (USD; Tot_Drug_Cst)2018 Drug cost: $6,400 (USD; Tot_Drug_Cst)2019 Drug cost: $2,130 (USD; Tot_Drug_Cst)2020 Drug cost: $2,218 (USD; Tot_Drug_Cst)2021 Drug cost: $900 (USD; Tot_Drug_Cst)2022 Drug cost: $671 (USD; Tot_Drug_Cst)2023 Drug cost: $461 (USD; Tot_Drug_Cst)2024 Drug cost: $408 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201579185$14,472
201674173$10,604
201768193$12,327
201862185$6,400
20192984$2,130
20203198$2,218
20212676$900
20221540$671
2023N/R27$461
2024N/R18$408

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$277$5552020 Medicare payment: $555 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/R11$555
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more129129$114
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more297819$89
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance148220$69
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more153186$65
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's118199$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
GabapentinGabapentin11990$272

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.31$1,009Boston Scientific Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Charles Fox Gordon, MD?

Tedicare shows public-source Medicare data for Charles Fox Gordon, MD (NPI 1649243890), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Charles Fox Gordon, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Charles Fox Gordon, MD?

Charles Fox Gordon, MD is linked to NEW YORK PAIN MANAGEMENT PLLC (billing NPI 1407884455) in the available physician profile data.

Does Charles Fox Gordon, MD have Open Payments data?

Charles Fox Gordon, MD has 31 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.