GORDON KENJI NAKATA M.D.
NPI 1497808505
Neurological Surgery in Hyannis, MA
NPI Status: Active since January 19, 2007
Contact Information
46 NORTH ST
HYANNIS, MA
ZIP 02601
Phone: (508) 771-0006
Fax: (508) 771-0006
- Individual
- Male
- Years of Experience 30
- Neurological Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About GORDON NAKATA
This page provides the complete NPI Profile along with additional information for Gordon Nakata, a provider established in Hyannis, Massachusetts with a medical specialization in Neurological Surgery and more than 30 years of experience. He graduated from State University Of New York Downstate Medical Center in 1996. The healthcare provider is registered in the NPI registry with number 1497808505 assigned on January 2007. The practitioner's primary taxonomy code is 207T00000X with license number A82736 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1497808505
- Provider Name
- GORDON KENJI NAKATA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 46 NORTH ST HYANNIS, MA 02601
- Location Phone
- (508) 771-0006
- Location Fax
- (508) 771-0006
- Mailing Address
- 46 NORTH ST HYANNIS, MA 02601
- Mailing Phone
- (508) 771-0006
- Mailing Fax
- (508) 771-0006
- Medical School Name
- STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
- Graduation Year
- 1996
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-19-2007
- Last Update Date
- 03-07-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Neurological Surgery
- Taxonomy Code
- 207T00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A82736
- License State
- CA
- Taxonomy Description
- A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Gordon Nakata is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Gordon Nakata is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6800988551
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20070825000020
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aspiration of bone marrow for spine bone graft
Computer-assisted spinal procedure
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc
Fusion of spine in lower back with partial removal of spine bone and disc
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc
Insertion of cage or mesh device to spine bone and disc space during spine fusion
Laminectomy or laminotomy (partial removal of spine bones)
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc
Placement of stabilizing device to back of 1 spine bone in neck
Placement of stabilizing device to back, 3-6 spine bone segments
Placement of stabilizing device to front, 2-3 spine bone segments
Spinal fusion
Treatment of broken lower spine bone with placement of stabilizing device
Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance
Aspiration of bone marrow for spine bone graft is a procedure where a small amount of bone marrow is extracted, usually from the hip, and then used to help new bone grow in the spine. This can aid in spinal fusion surgeries, enhancing recovery and stability.
This service was performed 39 times for 38 patientsA computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.
This service was performed 20 times for 19 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 96 times for 90 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 240 times for 189 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 37 times for 31 patientsThis procedure involves the fusion of a lower spine bone and the partial removal of a spine bone or disc from the back. It's done to relieve pain or correct a deformity. One disc is involved in this procedure. Recovery time varies based on individual health.
This service was performed 16 times for 16 patientsThis procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.
This service was performed 22 times for 22 patientsThis procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.
This service was performed 14 times for 14 patientsSpine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
This service was performed 70 times for 52 patientsA laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.
This service was performed for 147 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 129 times for 129 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 41 times for 41 patientsThis procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.
This service was performed 27 times for 27 patientsThis procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
This service was performed 27 times for 27 patientsThis procedure involves partially removing a spine bone, which may help to alleviate pressure on the lower spinal cord or nerves. It can also include disc removal. This can reduce pain and improve mobility. It's a common treatment for certain back conditions.
This service was performed 18 times for 18 patientsThis procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.
This service was performed 28 times for 28 patientsThis procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.
This service was performed 15 times for 15 patientsThis procedure involves positioning a stabilizing device on the front of 2-3 segments of your spine. It's designed to provide support and stability to your spine, potentially alleviating discomfort and improving mobility.
This service was performed 12 times for 12 patientsSpinal fusion is a surgical procedure aimed at connecting two or more vertebrae in your spine to reduce pain and improve stability. It involves using a bone graft to cause the vertebrae to grow together, limiting the movement between them. This procedure is often performed to treat conditions like herniated discs or spinal stenosis.
This service was performed for 107 patientsThis procedure involves fixing a broken bone in the lower spine. A stabilizing device is inserted to support the bone, promoting healing and reducing pain. The device helps to maintain proper spinal alignment and stability during your recovery period.
This service was performed 13 times for 13 patientsThis procedure treats a broken bone in the middle of your spine. A stabilizing device is placed to support the damaged area. Imaging guidance, like X-rays, is used to ensure precise placement of the device. This aids in your recovery and helps maintain spine stability.
This service was performed 14 times for 14 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.61 for a new patient copayment and $18.3 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02601 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.47
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $33.61
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $73.22
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $18.3
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Gordon Nakata is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| CAPE COD HOSPITAL | 27 PARK STREET HYANNIS, MA 02601 | (508) 771-1800 | Acute Care Hospitals | |
| FALMOUTH HOSPITAL | 67 & 100 TER HEUN DRIVE FALMOUTH, MA 02540 | (508) 548-5300 | Acute Care Hospitals | |
| NANTUCKET COTTAGE HOSPITAL | 57 PROSPECT STREET NANTUCKET, MA 02554 | (508) 228-1200 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 8 | 0 | 8 | 5 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 16 | 0 | 16 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 1 + 6 + 0 + 1 + 6 + 5 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1497808505 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1376543058 | PATRICK J MURRAY MD Individual | Neurological Surgery | 46 NORTH ST HYANNIS, MA 02601 (508) 771-0006 |
| 1184624330 | PAUL J HOULE MD Individual | Neurological Surgery | 46 NORTH ST HYANNIS, MA 02601 (508) 771-0006 |
| 1083615744 | ACHILLES K PAPAVASILIOU MD Individual | Neurological Surgery | 46 NORTH ST HYANNIS, MA 02601 (508) 771-0007 |
| 1225024656 | KEVIN T KELLY MD Individual | Anesthesiology (Pain Medicine) | 46 NORTH ST HYANNIS, MA 02601 (508) 862-5680 |
| 1396055497 | HATFIELD CARDIOLOGY LLC Organization | Internal Medicine (Cardiovascular Disease) | 46 NORTH ST HYANNIS, MA 02601 (508) 778-2860 |
| 1548693062 | M HATFIELD CARDIOLOGY Organization | Internal Medicine (Cardiovascular Disease) | 46 NORTH ST SUITE 6 HYANNIS, MA 02601 (508) 778-4888 |
| 1205017605 | NICHOLAS DANIEL COPPA M.D. Individual | Neurological Surgery | 46 NORTH ST HYANNIS, MA 02601 (508) 771-0006 |
| 1477530921 | NEUROSURGEONS OF CAPE COD PC Organization | Neurological Surgery | 46 NORTH ST 4 HYANNIS, MA 02601 (508) 771-0006 |
| 1457577652 | DR. JOHN MORRIS BETE JR. D.O. Individual | Physical Medicine & Rehabilitation | 46 NORTH ST NEUROSURGEONS OF CAPE COD HYANNIS, MA 02601 (508) 771-0006 |
| 1174932776 | STEPHANIE ELLIS Individual | Nurse Practitioner (Family) | 46 NORTH ST HYANNIS, MA 02601 (508) 771-0006 |
| 1790737013 | MALLORY C HATFIELD MD Individual | Internal Medicine (Cardiovascular Disease) | 46 NORTH ST SUITE 6 HYANNIS, MA 02601 (508) 778-4888 |
| 1669419016 | DR. NICHOLAS STEPHEN MATAS MD Individual | Internal Medicine (Cardiovascular Disease) | 46 NORTH ST SUITE 6 HYANNIS, MA 02601 (508) 778-4888 |
| 1326415589 | CLAIRE-MARIE STRAUSS PA-C Individual | Physician Assistant (Surgical) | 46 NORTH ST #4 HYANNIS, MA 02601 (508) 771-0006 |
| 1235379496 | DR. LURA WENDY MARKS ANP-BC Individual | Nurse Practitioner (Adult Health) | 46 NORTH ST HYANNIS, MA 02601 (508) 862-5680 |
| 1801370440 | SHANNON REX PA Individual | Physician Assistant | 46 NORTH ST HYANNIS, MA 02601 (508) 771-0006 |
| 1932758299 | LISA DUTRA FNP-BC Individual | Nurse Practitioner (Family) | 46 NORTH ST HYANNIS, MA 02601 (508) 771-0006 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497808505, enumerated in the NPI registry as an "individual" on January 19, 2007
The provider is located at 46 North St Hyannis, Ma 02601 and the phone number is (508) 771-0006
The provider's speciality is Neurological Surgery with taxonomy code 207T00000X
The provider has more than 30 years of experience. He graduated from State University Of New York Downstate Medical Center in 1996.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $134.47 with an average copayment of $33.61 for new patient appointments. Established patients should expect a typical charge of $73.22 and an average copayment of 18.3. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Aspiration of bone marrow for spine bone graft, Computer-assisted spinal procedure, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc, Fusion of spine in lower back with partial removal of spine bone and disc, Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc, Insertion of cage or mesh device to spine bone and disc space during spine fusion, Laminectomy or laminotomy (partial removal of spine bones), New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back, Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment, Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc, Placement of stabilizing device to back of 1 spine bone in neck, Placement of stabilizing device to back, 3-6 spine bone segments, Placement of stabilizing device to front, 2-3 spine bone segments, Spinal fusion, Treatment of broken lower spine bone with placement of stabilizing device and Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance.
The practitioner is affiliated to the following hospital(s): CAPE COD HOSPITAL, FALMOUTH HOSPITAL and NANTUCKET COTTAGE HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on January 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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