DR. MARTIN PHILIP GAGLIARDI (M.D.,F.A.C.S.) – Specialist, NPI 1649262650
Specialist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MARTIN PHILIP GAGLIARDI (M.D.,F.A.C.S.)
4270 CALINDA LN
NICEVILLE, FL 325784557
Phone: (850) 689-2775
Type: Mailing
127, East Redstone Avenue, Crestview, Okaloosa County, Florida, 32539, United States
SUITE B
CRESTVIEW, FL 325395358
Phone: (850) 689-2775
Fax: (850) 689-2765
Type: Location
MARTY P GAGLIARDI, MD
827 EDEN DRIVE
SANTA ROSA BEACH, FL 324595960
Phone: (850) 257-3708
Type: Mailing
560 W MITCHELL ST STE 560
PETOSKEY, MI 497702279
Phone: (231) 487-5400
Fax: (810) 600-7894
Type: Mailing
1393 VETERANS MEMORIAL HWY STE 110N
HAUPPAUGE, NY 117883000
Phone: (631) 851-7800
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: 2024-06-26
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 |
|---|---|---|---|---|
| I20190220003089 | I | Orthopedic Surgery | MS | TBD |
| I20240626004297 | I | Orthopedic Surgery | TX | 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 32578)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | FL | 73110 | X-ray of wrist, minimum of 3 views | 25 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Physician Assistant | WA | |
| - | WA | |
| General Surgery | MI | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | WI | |
| - | WA | |
| - | WA | |
| Family Practice | WA |
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