EDWARD LARRY GILLS (M.D.) – Family Medicine Physician, NPI 1952316366

EDWARD LARRY GILLS (M.D.) is a healthcare provider. based in Fort smith, Arkansas. specializing in FAMILY PRACTICE, GENERAL PRACTICE, OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. E1830 (AR). The NPI Number for EDWARD LARRY GILLS (M.D.) is 1952316366

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD LARRY GILLS (M.D.)
NPI
1952316366
Phone
(479) 785-2431
Address
612 S 12TH ST
Enumeration Date
31 July 2006
Last Update Date
29 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
9187741100
Graduation Year
1994 (32 years ago)
PAC ID
1557330024
Group Practice PAC ID
9032131735
Professional Enrollment ID
I20091124000038
Address ID
OK749552811SA213XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

Provider Addresses for EDWARD LARRY GILLS (M.D.)

  • 612, South 12th Street, Fort Smith, Sebastian County, Arkansas, 72901, United States

    FORT SMITH, AR 729014702

    Phone: (479) 785-2431

    Fax: (479) 494-7787

    Type: Mailing

  • 1301 S E St

    Fort Smith, AR 729014716

    Phone: (479) 785-2431

    Fax: (479) 494-7787

    Type: Location

  • PO BOX 776084

    CHICAGO, IL 606776084

    Phone: (479) 675-2800

    Fax: (314) 364-6321

    Type: Mailing

  • 880 W MAIN ST

    BOONEVILLE, AR 729273443

    Phone: (479) 675-2800

    Fax: (479) 452-0275

    Type: Location

  • E Street, Fort Smith, Sebastian County, Arkansas, 72901, United States

    FORT SMITH, AR 729014716

    Phone: (479) 785-2431

    Fax: (479) 494-7787

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $341.

Total Amount is formed as General ($341) + Research ($0) + Ownership ($0) = $341.

Last reported payment date: 2024-06-14 • Largest payer in this snapshot: Abbott Laboratories ($325).

Total Amount

$341

General + Research + Ownership

Payments

3

Total payment records

General Amount

$341

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091124000038IFamily PracticeOKTBD
I20151005000456IFamily PracticeARTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes19065$0
36415Insertion of needle into vein for collection of blood sample7449$0
99214Established patient office or other outpatient visit, 30-39 minutes6148$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4037$0
80053Blood test, comprehensive group of blood chemicals3530$0
View full utilization report →

Insurance plans in this area (ZIP 72901)

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Provider's Procedures

EDWARD LARRY GILLS (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEAR83036Hemoglobin A1C level5041

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032131735View full group profile
NameSpecialtyState
Family PracticeOK
-TX
Emergency MedicineOK
Emergency MedicineOK
Family PracticeOK
-OK
Family PracticeOK
-AZ
Family PracticeIL
Emergency Medicine, General SurgeryIN

Reviews

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Frequently asked questions

What unique ID ties claims to EDWARD LARRY GILLS (M.D.)?
NPI 1952316366 is assigned to EDWARD LARRY GILLS (M.D.) under the national enumeration system.
Is EDWARD LARRY GILLS (M.D.) currently active in the NPI registry?
CMS-published data lists EDWARD LARRY GILLS (M.D.) as an active registrant.
What field does EDWARD LARRY GILLS (M.D.) work in?
You can think of EDWARD LARRY GILLS (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place EDWARD LARRY GILLS (M.D.)?
The snapshot lists Fort Smith, Arkansas for EDWARD LARRY GILLS (M.D.); download NPPES for the complete set.
What if Fort Smith, Arkansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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