HERRON LANCE GOMILLION (MD) – Student in an Organized Health Care Education/Training Program, NPI 1164983078
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,175 DIAGNOSTIC RADIOLOGY in FL
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Provider Addresses for HERRON LANCE GOMILLION (MD)
University of Central Florida College of Medicine, 6850, Lake Nona Boulevard, Medical City, Orlando, Orange County, Florida, 32827, United States
ORLANDO, FL 328277408
Phone: (407) 266-1106
Fax: (407) 266-1199
Type: Mailing
1905 N Calhoun Rd
Brookfield, WI 530055005
Phone: (262) 754-8000
Fax: (262) 780-3396
Type: Location
9200 W Wisconsin Ave
Milwaukee, WI 532263522
Phone: (414) 805-2060
Fax: (414) 259-9290
Type: Location
9200 W WISCONSIN AVE
MILWAUKEE, WI 532263522
Phone: (414) 805-2060
Fax: (414) 259-9290
Type: Mailing
601 E ROLLINS ST
ORLANDO, FL 328031248
Phone: (407) 303-5600
Fax: (317) 705-5047
Type: Location
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: 2025-08-20
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 |
|---|---|---|---|---|
| I20240521002163 | I | Diagnostic Radiology | WI | TBD |
| I20250820004313 | I | Diagnostic Radiology | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32827)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Physician Assistant | WI | |
| Internal Medicine | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI |
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