Doctor profile · Federal record
Dr. Tisha Gordon, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · American Fork, UT
- NPI 1720310253
- Accepts Medicare
- 17 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
170 N 1100 E
American Fork, UT 840032096
(801) 763-3300
fax (801) 432-2668 - Mailing address
-
10150 Centennial Pkwy, Suite 230
Sandy, UT 840704103
Credentials & registration
- NPI registered
- February 2010 — 16 yrs on file
- Year of graduation
- 2009 — 17 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Utah #354490-4406
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720310253. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
28
Distinct HCPCS
2
Medicare allowed
$2,899
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00812 |
Anesthesia for exam of colon using an endoscope | 17 | 17 | $93 | |
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 11 | 11 | $120 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 21. This provider delivers 1.3× the peer median.Frequently asked questions
What is Dr. Tisha Gordon's medical specialty?
Dr. Tisha Gordon practices Certified Registered Nurse Anesthetist in American Fork, UT.
Where does Dr. Tisha Gordon practice?
Dr. Tisha Gordon practices at 170 N 1100 E, American Fork, UT 840032096. Office phone: 8017633300.
What is Dr. Tisha Gordon's NPI?
Dr. Tisha Gordon's National Provider Identifier (NPI) is 1720310253, issued by NPPES.
Does Dr. Tisha Gordon accept Medicare assignment?
Yes. Dr. Tisha Gordon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tisha Gordon commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for exam of colon using an endoscope (HCPCS 00812); Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731). Source: CMS Medicare Physician & Other Practitioners file.