DR. LARRY KYLE GAMBRELL (D.O.) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1275621963
Otolaryngology/Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,359 OTOLARYNGOLOGY in CA
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Provider Addresses for DR. LARRY KYLE GAMBRELL (D.O.)
6880, Palm Avenue, Sebastopol, Sonoma County, California, 95472, United States
SEBASTOPOL, CA 954724270
Phone: (707) 823-7628
Fax: (707) 823-1521
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $434.
Total Amount is formed as General ($434) + Research ($0) + Ownership ($0) = $434.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: GENZYME CORPORATION ($264).
Total Amount
$434
General + Research + Ownership
Payments
17
Total payment records
General Amount
$434
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $264 |
| GlaxoSmithKline, LLC. | $70 |
| Stryker Corporation | $68 |
| Regeneron Healthcare Solutions, Inc. | $31 |
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: 2025-04-04
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 |
|---|---|---|---|---|
| I20250404000717 | I | Otolaryngology | ID | 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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 655 | 20 | $0 |
| 95117 | Professional service for multiple injections of allergen | 203 | 34 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 71 | 71 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 52 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 47 | 43 | $0 |
Insurance plans in this area (ZIP 95472)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Nurse Practitioner | UT | |
| Physician Assistant | ID | |
| A N E S T H E S I O L O G Y | NH | |
| N E U R O S U R G E R Y | ID | |
| Orthopedic Surgery | UT | |
| Cardiovascular Disease (Cardiology) | ID | |
| General Surgery, Critical Care (Intensivists), Internal Medicine | ID | |
| Internal Medicine, Pediatric Medicine | UT | |
| Family Practice | ID |
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