GARY M VAN DEVENTER (MD) – Gastroenterology Physician, NPI 1285628933

GARY M VAN DEVENTER (MD) is a healthcare provider. based in Santa barbara, California. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. C39157 (CA). The NPI Number for GARY M VAN DEVENTER (MD) is 1285628933

Main info

Male
Sole Proprietor
53 Years Of Experience
Accepts Medicare Assignment
Name
GARY M VAN DEVENTER (MD)
NPI
1285628933
Phone
(805) 563-0024
Address
221 W PUEBLO ST
Enumeration Date
8 September 2005
Last Update Date
24 March 2009

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
8055630024
Graduation Year
1973 (53 years ago)
PAC ID
8628046083
Professional Enrollment ID
I20040923000799
Address ID
CA931056211SA504XXSTXX468
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,981 GASTROENTEROLOGY in CA

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Provider Addresses for GARY M VAN DEVENTER (MD)

  • 221, West Pueblo Street, Santa Barbara, Santa Barbara County, California, 93105, United States

    SUITE B

    SANTA BARBARA, CA 931056814

    Phone: (805) 563-0024

    Fax: (805) 563-1454

    Type: Location

  • PO BOX 50706

    SANTA BARBARA, CA 931500706

    Phone: (805) 563-0024

    Fax: (805) 563-1454

    Type: Mailing

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 $195.

Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.

Last reported payment date: 2024-07-11 • Largest payer in this snapshot: ABBVIE INC. ($180).

Total Amount

$195

General + Research + Ownership

Payments

3

Total payment records

General Amount

$195

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

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: 2004-09-23

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040923000799IGastroenterologyCATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes210166$0
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito177167$0
99204New patient office or other outpatient visit, 45-59 minutes170170$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope8585$0
45378Diagnostic exam of large bowel using a flexible endoscope7676$0
View full utilization report →

Insurance plans in this area (ZIP 93105)

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Reviews

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Frequently asked questions

What federal number belongs to GARY M VAN DEVENTER (MD)?
The federal identifier for GARY M VAN DEVENTER (MD) is NPI 1285628933.
Is GARY M VAN DEVENTER (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does GARY M VAN DEVENTER (MD) list a primary specialty?
If you are matching referrals, note Gastroenterology Physician for GARY M VAN DEVENTER (MD). Clinical services aligned with this taxonomy classification.
Where is GARY M VAN DEVENTER (MD)'s primary listing?
We display Santa Barbara, California because that is what the record indicates for GARY M VAN DEVENTER (MD).
What if Santa Barbara, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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