MICHELLE GORDON-CANNING (P.A.) – Physician Assistant, NPI 1184637654
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
Provider Addresses for MICHELLE GORDON-CANNING (P.A.)
20 YORK ST
NEW HAVEN, CT 065103220
Phone: (203) 688-4748
Fax: (203) 688-4740
Type: Mailing
South Pavilion & MOB, 350, 30th Street, Pill Hill, Oakland, Alameda County, California, 94609, United States
SUITE411
OAKLAND, CA 94609
Phone: (510) 987-8616
Fax: (510) 987-8619
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 $76.
Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Baxter Healthcare ($30).
Total Amount
$76
General + Research + Ownership
Payments
3
Total payment records
General Amount
$76
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $30 |
| ATRICURE, INC. | $26 |
| Merck Sharp & Dohme LLC | $20 |
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: 2005-09-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040702000454 | I | Physician Assistant | CT | TBD |
| I20050922000360 | I | Physician Assistant | CA | 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 | 261 | 176 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 234 | 135 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 85 | 85 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 52 | 52 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 06510)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CT | |
| H E M A T O L O G Y/ O N C O L O G Y | CT | |
| Internal Medicine, Nephrology | SC | |
| - | CT | |
| - | NC | |
| Internal Medicine | CT | |
| - | CT | |
| Cardiac Surgery | CT | |
| - | CT | |
| - | CT |
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