Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Scott William Gordon, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1164745824

Scott William Gordon, DPM is a Podiatry in Pratt, Kansas. Qualified in 2009, 17 years ago. Practices with Pratt Regional Medical Center Corporation, a 36-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arizona, Kansas and New Mexico.

Years since qualifying
17
Licensed in
AZ, KS, NM
In the registry since
2010
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

203 Watson St Ste 300
Pratt, KS 67124-3092
Phone: (620) 672-1002
Fax: (620) 450-1741
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1206 W Frontview St Ste 203, Dodge City, KS 67801-2095 — (620) 225-7744
  • 200 Commodore St, Pratt, KS 67124-2903 — (620) 450-1186
  • 2301 Indian Wells Rd Ste A, Alamogordo, NM 88310-4611 — (575) 434-0639

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 1200396 (KS)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 345 (NM)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 0738 (AZ)

Record details

NPI number1164745824
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 10, 2010
Last updated in NPPESMarch 26, 2021
Certification dateMarch 26, 2021
Mailing address203 Watson St Ste 300, Pratt, KS 67124-3092

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Pratt Regional Medical Center Corporation — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare