Doctor profile · Federal record
Dr. Kenneth Gordon, M.D.
Dermatology Physician (CMS: Dermatology) · Dermatology Physician · Wauwatosa, WI
- NPI 1790865806
- Accepts Medicare
- 36 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
10000 W Bluemound RD
Wauwatosa, WI 532264321
(414) 454-8000
fax (414) 805-3888 - Additional location
-
9200 W Wisconsin Ave, Department of Dermatology
Milwaukee, WI 532263522
(414) 805-3666
fax (414) 805-5323
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- July 26, 2022
- Year of graduation
- 1990 — 36 yrs since
- Specialty taxonomy
- 207N00000X — NUCC code
- State licenses (2)
- Wisconsin #66663 · Illinois #036086146
- Medicaid
- WI #1790865806
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790865806. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
802
Distinct HCPCS
10
Medicare allowed
$44,760
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17003 |
Destruction of precancer skin growth, 2-14 growths | 226 | 54 | $2 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 224 | 190 | $62 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 92 | 74 | $92 | |
17000 |
Destruction of precancer skin growth, 1 growth | 85 | 76 | $46 | |
17110 |
Destruction of skin growth, 1-14 growths | 50 | 48 | $62 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 40 | 40 | $76 | |
11102 |
Biopsy of related skin growth, first growth | 35 | 32 | $27 | |
J7308 |
Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 22 | 19 | $385 | |
96567 |
Application of light to destroy precancer skin growth | 15 | 14 | $135 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 13 | 12 | $33 |
In context: peer comparison
Among 6 peers in Wauwatosa Dermatology Physician, average services per provider: 66. This provider delivers 12× the peer median.Open Payments
Industry payments received
All-time total
$54,543
Transactions
141
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| E.R. Squibb & Sons, L.L.C. | 28 | $12,870.30 | |
| Boehringer Ingelheim International GmbH | 56 | $7,965.36 | |
| Novartis Pharmaceuticals Corporation | 15 | $7,032.45 | |
| Abbvie INC. | 16 | $6,472.87 | |
| Ucb Sa | 2 | $6,227.36 | |
| Janssen Biotech, INC. | 8 | $5,180.26 | |
| Janssen Global Services, LLC | 8 | $5,087.61 | |
| Ucb, INC. | 4 | $2,933.07 | |
| Incyte Corporation | 3 | $475.22 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 1 | $298.71 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
676
Patients
189
Total drug cost
$1,092,762
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ketoconazole | Generic | 123 | 47 | $2,644 |
| Triamcinolone Acetonide | Generic | 105 | 55 | $1,595 |
| Clobetasol Propionate | Generic | 101 | 36 | $11,666 |
| Fluocinonide | Generic | 63 | 23 | $4,009 |
| Methotrexate (Methotrexate Sodium) | Brand | 44 | 12 | $1,404 |
| Clindamycin Phosphate | Generic | 38 | 0 | $1,487 |
| Skyrizi (Risankizumab-Rzaa) | Brand | 28 | 0 | $581,830 |
| Taltz Autoinjector (Ixekizumab) | Brand | 27 | 0 | $190,366 |
| Humira(Cf) Pen (Adalimumab) | Brand | 26 | 0 | $225,582 |
| Tacrolimus | Generic | 24 | 16 | $4,718 |
Frequently asked questions
What is Dr. Kenneth Gordon's medical specialty?
Dr. Kenneth Gordon practices Dermatology Physician in Wauwatosa, WI.
Where does Dr. Kenneth Gordon practice?
Dr. Kenneth Gordon practices at 10000 W Bluemound RD, Wauwatosa, WI 532264321. Office phone: 4144548000.
What is Dr. Kenneth Gordon's NPI?
Dr. Kenneth Gordon's National Provider Identifier (NPI) is 1790865806, issued by NPPES.
Does Dr. Kenneth Gordon accept Medicare assignment?
Yes. Dr. Kenneth Gordon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kenneth Gordon commonly perform?
Top Medicare-reported procedures in 2023: Destruction of precancer skin growth, 2-14 growths (HCPCS 17003); Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.