STEPHANIE GOMOLKA (PA) – Physician Assistant, NPI 1295236677
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
Provider Addresses for STEPHANIE GOMOLKA (PA)
9895 W REMINGTON PL
LITTLETON, CO 801286734
Phone: (303) 948-2676
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 33 Open Payments records for all available years, with a total value of $792.
Total Amount is formed as General ($792) + Research ($0) + Ownership ($0) = $792.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($254).
Total Amount
$792
General + Research + Ownership
Payments
33
Total payment records
General Amount
$792
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $254 |
| PFIZER INC. | $92 |
| Astellas Pharma US Inc | $90 |
| Exact Sciences Corporation | $82 |
| Bausch Health US, LLC | $47 |
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: 2020-01-15
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 |
|---|---|---|---|---|
| I20200115000308 | I | Physician Assistant | CO | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 205 | 136 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 35 | 30 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 29 | 29 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 18 | 18 | $0 |
| 81000 | Manual urinalysis test with examination using microscope, non-automated | 16 | 13 | $0 |
Insurance plans in this area (ZIP 80128)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Physician Assistant | CO | |
| - | AE | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | WY | |
| Physician Assistant | CA |
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