DONALD E. III GULLICKSON (M.D.) – Gastroenterology Physician, NPI 1275775058

DONALD E. III GULLICKSON (M.D.) is a healthcare provider. based in Farmington, Connecticut. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 60650203 (WA). The NPI Number for DONALD E. III GULLICKSON (M.D.) is 1275775058

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DONALD E. III GULLICKSON (M.D.)
NPI
1275775058
Phone
(860) 679-3878
Address
UCONN HEALTH CENTER 263 FARMINGTON AVE
Enumeration Date
25 March 2009
Last Update Date
24 May 2023

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
3607341420
Graduation Year
2009 (17 years ago)
PAC ID
2062676687
Group Practice PAC ID
9335052265
Professional Enrollment ID
I20161228001519
Address ID
WA982266610BE3111XSTXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

401 GASTROENTEROLOGY in CT

Provider Addresses for DONALD E. III GULLICKSON (M.D.)

  • UCONN HEALTH CENTER 263 FARMINGTON AVE

    FARMINGTON, CT 060300001

    Phone: (860) 679-3878

    Type: Location

  • 3111 WOBURN ST STE 201

    BELLINGHAM, WA 982266610

    Phone: (360) 734-1420

    Fax: (360) 733-1659

    Type: Mailing

  • 2979, Squalicum Parkway, Parkview, Cornwall Park, Bellingham, Whatcom County, Washington, 98225, United States

    STE 301

    BELLINGHAM, WA 982251813

    Phone: (860) 679-3878

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-12-28

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
I20161228001519IGastroenterologyWATBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity349184$0
99214Established patient office or other outpatient visit, 30-39 minutes12699$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare125125$0
45380Biopsy of large bowel using a flexible endoscope8080$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope6463$0
View full utilization report →

Insurance plans in this area (ZIP 06030)

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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: 9335052265View full group profile
NameSpecialtyState
-WA
-WA
G A S T R O E N T E R O L O G YWA
Physician AssistantWA
Internal Medicine, GastroenterologyWA
G A S T R O E N T E R O L O G YWA
Gastroenterology, Internal MedicineWI
Physician AssistantWA
-WA
Gastroenterology, Internal MedicineWA

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Frequently asked questions

What is the standard ID for DONALD E. III GULLICKSON (M.D.) in the U.S.?
In the U.S., DONALD E. III GULLICKSON (M.D.) is identified by NPI 1275775058.
Is DONALD E. III GULLICKSON (M.D.)'s NPI status active today?
Active status means DONALD E. III GULLICKSON (M.D.)'s NPI record is not deactivated in the public file.
What services align with DONALD E. III GULLICKSON (M.D.)'s listing?
DONALD E. III GULLICKSON (M.D.)'s public classification highlights Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DONALD E. III GULLICKSON (M.D.)?
The directory associates DONALD E. III GULLICKSON (M.D.) with Farmington, Connecticut. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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