DR. JOSE E GUMARIN (M.D.) – Emergency Medicine Physician, NPI 1265489843
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,513 EMERGENCY MEDICINE in GA
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Provider Addresses for DR. JOSE E GUMARIN (M.D.)
204, Farmington Court, Eagle Springs, Centerville, Houston County, Georgia, 31028, United States
CENTERVILLE, GA 310288556
Phone: (478) 953-0504
Fax: (727) 507-3618
Type: Mailing
Houston Medical Center, 1601, Watson Boulevard, Warner Robins, Houston County, Georgia, 31093, United States
WARNER ROBINS, GA 310933431
Phone: (478) 542-7830
Fax: (478) 542-7940
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 $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-05-19 • Largest payer in this snapshot: BioXcel Therapeutics, Inc. ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BioXcel Therapeutics, Inc. | $21 |
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: 2004-11-16
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 |
|---|---|---|---|---|
| I20041116000584 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 371 | 347 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 252 | 198 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 229 | 220 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 106 | 98 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 104 | 102 | $0 |
Insurance plans in this area (ZIP 31028)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | GA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 529 | 497 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Emergency Medicine | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Emergency Medicine, Geriatric Medicine | CT | |
| Emergency Medicine | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Emergency Medicine | LA | |
| Emergency Medicine | SC |
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