Samuel Antonio Gordon, PH.D.

NPI 1689684888ActiveIndividual· Psychologist, Clinical· Washington, DC

Psychologist, Clinical (PH.D.) with Medstar Medical Group II LLC and 1 other group, practicing in Washington, District of Columbia. Medicare paid $60,298 for services to 50 patients in 2024. Lists Medstar Good Samaritan Hospital as a hospital affiliation.

Overview

NPI	1689684888
Status	Active
Entity type	Individual
Credential	PH.D.
Sole proprietor	No
NPI issued	Aug 9, 2006
Last updated in NPPES	Dec 11, 2007

Specialties and licenses

Taxonomy	Code	License	State
Psychologist, Clinical Primary	103TC0700X	PSY 1528	DC

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Oct 9, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026	No match	—
New York OMIG · Nov 10, 2026	No match	—
Ohio Medicaid · Nov 10, 2026	No match	—
Pennsylvania Medicheck · Nov 10, 2026	No match	—
Washington HCA · Nov 10, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Practitioner - Clinical Psychologist (DC); Practitioner - Clinical Psychologist (MD)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	50
Services billed	838 across 15 procedure codes
Paid by Medicare	$60,298

Medicare sources and data years

Education and affiliations

Graduation year	1987
Medicare specialty	Clinical Psychologist
Telehealth	Offers telehealth

Medical groups

Medstar Medical Group II LLCWashington, DC · 3,767 clinicians
Interdynamics IncLandover, MD · 6 clinicians

Hospital affiliation

Medstar Good Samaritan HospitalBaltimore, MD

Source: CMS Care Compare

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