DR. CARLOS M. GADEA (M.D.) – Rheumatology Physician, NPI 1417141763
Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
107 RHEUMATOLOGY in AL
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Provider Addresses for DR. CARLOS M. GADEA (M.D.)
301, Brown Springs Road, Mitylene, Montgomery, Montgomery County, Alabama, 36117, United States
MONTGOMERY, AL 361177005
Phone: (334) 747-4159
Type: Mailing
East South Boulevard, Clubview Estates, Montgomery, Montgomery County, Alabama, 36116, United States
SUITE 100
MONTGOMERY, AL 361162454
Phone: (334) 613-7070
Fax: (334) 613-7072
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $276.
Total Amount is formed as General ($276) + Research ($0) + Ownership ($0) = $276.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: ABBVIE INC. ($93).
Total Amount
$276
General + Research + Ownership
Payments
12
Total payment records
General Amount
$276
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $93 |
| Amgen Inc. | $88 |
| E.R. Squibb & Sons, L.L.C. | $47 |
| GlaxoSmithKline, LLC. | $26 |
| PFIZER INC. | $22 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-02-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170208000201 | I | Rheumatology | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 306 | 202 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 38 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 27 | $0 |
Insurance plans in this area (ZIP 36117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| Addiction Medicine, Family Practice | AL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | AL | |
| Family Practice | AL | |
| Family Practice | AL | |
| Physician Assistant | AL | |
| - | AL | |
| Interventional Cardiology | AL |
Reviews
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