DR. SHANNON GULLEY (M.D.) – Surgery Physician, NPI 1336116821
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
92 GENERAL SURGERY in AK
Provider Addresses for DR. SHANNON GULLEY (M.D.)
2490 S WOODWORTH LOOP
SUITE 450
PALMER, AK 996457410
Phone: (907) 745-8100
Fax: (907) 746-2655
Type: Mailing
PO BOX 75032
CHICAGO, IL 606755032
Phone: (907) 746-1520
Fax: (907) 746-1521
Type: Mailing
425 E DAHLIA AVE STE J
PALMER, AK 996456463
Phone: (907) 746-1520
Fax: (907) 746-1521
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $2,274.
Total Amount is formed as General ($2,274) + Research ($0) + Ownership ($0) = $2,274.
Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,985).
Total Amount
$2,274
General + Research + Ownership
Payments
19
Total payment records
General Amount
$2,274
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $1,985 |
| Ethicon US, LLC | $138 |
| ABBVIE INC. | $107 |
| Merit Medical Systems Inc | $22 |
| Solventum Corporation | $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: 2014-09-15
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 |
|---|---|---|---|---|
| I20140915001718 | I | General Surgery | AK | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 99 | 79 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 88 | 88 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 69 | 61 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 48 | 47 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 26 | 26 | $0 |
Insurance plans in this area (ZIP 99645)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AK | |
| Nurse Practitioner | AK |
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