DR. KENNETH LESLIE GAGE (M.D., PH.D.) – Diagnostic Radiology Physician, NPI 1669640348
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
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Provider Addresses for DR. KENNETH LESLIE GAGE (M.D., PH.D.)
H. Lee Moffitt Cancer Center, 12902, USF Magnolia Drive, Tampa, Hillsborough County, Florida, 33612, United States
MAILSTOP WCB-RAD MD/OPI
TAMPA, FL 336129416
Phone: (813) 745-1573
Fax: (813) 745-6070
Type: Location
12902 Usf Magnolia Dr
Mailstop WCB-RAD MD/OPI
Tampa, FL 336129416
Phone: (813) 745-1573
Fax: (813) 745-6070
Type: Location
4500 SAN PABLO RD S
JACKSONVILLE, FL 322241865
Phone: (904) 953-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $183.
Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.
Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Blue Earth Diagnostics Limited ($136).
Total Amount
$183
General + Research + Ownership
Payments
5
Total payment records
General Amount
$183
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Blue Earth Diagnostics Limited | $136 |
| Novartis Pharmaceuticals Corporation | $29 |
| Cardinal Health 414 LLC | $17 |
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: 2014-09-29
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 |
|---|---|---|---|---|
| I20140929001101 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 78306 | Nuclear medicine study of bone and/or joint whole body | 413 | 356 | $0 |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 314 | 300 | $0 |
| 78816 | Nuclear medicine study whole body with ct scan | 227 | 206 | $0 |
| 38792 | Injection of radioactive material for x-ray identification of lymph node | 112 | 112 | $0 |
| 78195 | Nuclear medicine study of lymphatic system | 78 | 77 | $0 |
Insurance plans in this area (ZIP 33612)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Orthopedic Surgery | FL | |
| Internal Medicine | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
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