DR. JERRY N GILLES (MD) – Maternal & Fetal Medicine Physician, NPI 1891709630

DR. JERRY N GILLES (MD) is a healthcare provider. based in Fort lauderdale, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. ME71247 (FL). The NPI Number for DR. JERRY N GILLES (MD) is 1891709630

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERRY N GILLES (MD)
NPI
1891709630
Phone
(954) 355-5110
Address
1600 S. ANDREWS AVENUE
Enumeration Date
28 July 2006
Last Update Date
25 February 2014

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
9544683080
Graduation Year
1990 (36 years ago)
PAC ID
8921130139
Group Practice PAC ID
4486634417
Professional Enrollment ID
I20100722000762
Address ID
FL330635715MA2964XRDXX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,538 OBSTETRICS/GYNECOLOGY in FL

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Provider Addresses for DR. JERRY N GILLES (MD)

  • Broward Health Medical Center, 1600, South Andrews Avenue, Fort Lauderdale, Broward County, Florida, 33316, United States

    SUITE 323 WEST WING

    FORT LAUDERDALE, FL 33316

    Phone: (954) 355-5110

    Fax: (954) 355-4919

    Type: Mailing

  • 300, Southeast 17th Street, Fort Lauderdale, Broward County, Florida, 33316, United States

    SUITE 300

    FORT LAUDERDALE, FL 33316

    Phone: (954) 468-3080

    Fax: (954) 468-3082

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-08-29 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-07-22

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
I20100722000762IObstetrics/GynecologyFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33316)

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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: 4486634417View full group profile
NameSpecialtyState
-FL
-FL
-FL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
-SC
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

What NPI should I save for DR. JERRY N GILLES (MD)?
Save NPI 1891709630 if you need a stable reference for DR. JERRY N GILLES (MD).
Is DR. JERRY N GILLES (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. JERRY N GILLES (MD)'s specialty in plain language?
Clinically, the directory lists DR. JERRY N GILLES (MD) with Maternal & Fetal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JERRY N GILLES (MD)'s primary listing?
We display Fort Lauderdale, Florida because that is what the record indicates for DR. JERRY N GILLES (MD).
How can I contact DR. JERRY N GILLES (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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