Tara Ann Gordon, P.A.
NPI 1962552661ActiveIndividual· Physician Assistant· Flagstaff, AZ
Physician Assistant (P.A.) with Northern Arizona Healthcare Corporation, practicing in Flagstaff, Arizona. Mostly services rather than prescriptions: Medicare paid $8,069 for 80 patients in 2024, with only 20 Part D claims. Bioventus LLC reported $18.00 in payments in 2025, mostly food and beverage. Lists Flagstaff Medical Center as a hospital affiliation.
Overview
| NPI | 1962552661 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Jan 12, 2007 |
| Last updated in NPPES | May 6, 2021 |
| Certified by provider | May 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 3598 | AZ |
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 - Physician Assistant (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 80 |
|---|---|
| Services billed | 104 across 36 procedure codes |
| Paid by Medicare | $8,069 |
Part D prescriptions in 2024
| Prescriptions (claims) | 20 · 20 30-day fills |
|---|---|
| Patients | 16 |
| Total drug cost | $848.08 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Northern Arizona Healthcare CorporationFlagstaff, AZ · 385 clinicians
Hospital affiliation
- Flagstaff Medical CenterFlagstaff, AZ
Industry payments (Open Payments)
- 2025$18.00 · 1 payment from 1 company
- 2024$16.74 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Bioventus LLC | $18.00 | 1 |
What the 2025 payments were for
- Food and Beverage$18.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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