GARY W MANLY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1023013000
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for GARY W MANLY (CRNA)
1801, West 40th Avenue, Pine Bluff, Jefferson County, Arkansas, 71603, United States
STE 2B
PINE BLUFF, AR 716036957
Phone: (870) 535-7457
Fax: (870) 535-2522
Type: Location
Pine, De Valls Bluff, Prairie County, Arkansas, 72041, United States
PINE BLUFF, AR 716131272
Phone: (870) 535-7457
Fax: (870) 535-2522
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $27.
Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.
Last reported payment date: 2023-06-02 • Largest payer in this snapshot: Ethicon US, LLC ($27).
Total Amount
$27
General + Research + Ownership
Payments
1
Total payment records
General Amount
$27
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon US, LLC | $27 |
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: 2010-10-12
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 |
|---|---|---|---|---|
| I20101012001207 | I | Certified Registered Nurse Anesthetist (Crna) | AR | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 29 | 26 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 22 | 22 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 14 | 14 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 71603)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | AR | 00142 | Anesthesia for lens surgery | 109 | 85 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | TX | |
| Nurse Practitioner | AR | |
| A N E S T H E S I O L O G Y | AR | |
| - | AR | |
| Family Practice | AR | |
| Cardiac Surgery, General Surgery, Thoracic Surgery, Vascular Surgery | AR | |
| Family Practice, Emergency Medicine | AR | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | AR | |
| - | AR |
Reviews
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