Kenyetta Michelle Gordon, MD
NPI 1013101161ActiveIndividual· Family Medicine· Crescent City, CA
Family Medicine (MD) with Open Door Community Health Centers and 1 other group, practicing in Crescent City, California. Their prescriptions cost Medicare Part D more than their services did: $196,343 for 1,693 claims, against $827.51 paid for services in 2024. Lists Curry General Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1013101161 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Aug 31, 2007 |
| Last updated in NPPES | May 26, 2023 |
| Certified by provider | May 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | C186176 | CA |
| Family Medicine | 207Q00000X | 19863 | NV |
| Family Medicine | 207Q00000X | E-6423 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (AR); Practitioner - Family Practice (CA); Practitioner - Family Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 83 across 23 procedure codes |
| Paid by Medicare | $827.51 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,693 · 2,816 30-day fills |
|---|---|
| Patients | 284 |
| Total drug cost | $196,343 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Family Practice |
Medical groups
- Open Door Community Health CentersArcata, CA · 114 clinicians
- United Indian Health Services, Inc.Crescent City, CA · 24 clinicians
Hospital affiliations
- Curry General HospitalGold Beach, OR
- Providence St Joseph HospitalEureka, CA
- Sutter Coast HospitalCrescent City, CA
Other facilities
- Sutter Coast Home CareHome health agency · Crescent City, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 17 family medicine physicians in Crescent City · All family medicine physicians in California