DR. EARLE WALCOTT III GUNN (M.D.) – Surgery Physician, NPI 1043398605
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,092 GENERAL SURGERY in GA
Provider Addresses for DR. EARLE WALCOTT III GUNN (M.D.)
3320 OLD JEFFERSON RD BLDG 800
ATHENS, GA 306071400
Phone: (706) 353-2990
Fax: (706) 353-2992
Type: Mailing
245 FLOYD DR
ATHENS, GA 306071469
Phone: (762) 356-4780
Type: Location
658 N. Chase Street, Ste 201
Athens, GA 30606
Phone: (706) 353-2990
Fax: (706) 353-2992
Type: Location
3320 Old Jefferson Rd Bldg 300
Athens, GA 306071400
Phone: (706) 410-1734
Fax: (706) 410-2483
Type: Location
3320 Old Jefferson Rd Bldg 800
Athens, GA 306071400
Phone: (706) 353-2990
Fax: (706) 353-2992
Type: Location
1460 Resurgence Dr
Watkinsville, GA 306777320
Phone: (706) 715-2410
Fax: (706) 353-2992
Type: Location
1010 PRINCE AVE STE 300
ATHENS, GA 306065805
Phone: (706) 425-1430
Fax: (706) 548-7604
Type: Mailing
1500, Oglethorpe Avenue, Elder, Athens, Athens-Clarke County, Georgia, 30606, United States
SUITE 600F
ATHENS, GA 306062179
Phone: (706) 475-4917
Type: Mailing
Rinse Beauty, 740, Prince Avenue, Boulevard, Athens, Clarke County, Georgia, 30606, United States
BLDG 1B
ATHENS, GA 306065908
Phone: (706) 549-5554
Fax: (706) 548-7056
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $122.
Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.
Last reported payment date: 2024-06-03 • Largest payer in this snapshot: Molli Surgical (us) Inc ($61).
Total Amount
$122
General + Research + Ownership
Payments
4
Total payment records
General Amount
$122
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Molli Surgical (us) Inc | $61 |
| Merck Sharp & Dohme LLC | $24 |
| ABBVIE INC. | $23 |
| Ethicon US, LLC | $15 |
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: 2005-08-17
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 |
|---|---|---|---|---|
| I20050817000124 | I | General Surgery | GA | 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 |
|---|---|---|---|---|
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 88 | 79 | $0 |
| 77067 | Screening mammography | 68 | 68 | $0 |
| 77063 | Screening 3d breast mammography | 68 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 55 | 45 | $0 |
| 77066 | Diagnostic mammography of both breasts | 49 | 49 | $0 |
Insurance plans in this area (ZIP 30607)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | GA | 38900 | Lymph node imaging during surgery | 32 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| P A T H O L O G Y | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| - | GA | |
| Physician Assistant | GA | |
| Clinical Social Worker | GA |
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