DR. GARY STILLWAGON (M.D) – Radiation Oncology Physician, NPI 1548244817

DR. GARY STILLWAGON (M.D) is a healthcare provider. based in Lawrenceville, Georgia. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D. They hold a License No. 035774 (GA). The NPI Number for DR. GARY STILLWAGON (M.D) is 1548244817

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARY STILLWAGON (M.D)
NPI
1548244817
Phone
(770) 962-8888
Address
698 DULUTH HWY
Enumeration Date
1 December 2005
Last Update Date
13 July 2015

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
4787422278
Graduation Year
1983 (43 years ago)
PAC ID
6204829476
Group Practice PAC ID
0840291944
Professional Enrollment ID
I20040405000744
Address ID
GA312173889MA308XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

203 RADIATION ONCOLOGY in GA

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Provider Addresses for DR. GARY STILLWAGON (M.D)

  • 698, Duluth Highway, Lawrenceville, Gwinnett County, Georgia, 30043, United States

    SUITE 100

    LAWRENCEVILLE, GA 300467645

    Phone: (770) 962-8888

    Fax: (770) 963-7447

    Type: Location

  • PO BOX 116470

    ATLANTA, GA 303686470

    Phone: (404) 320-1550

    Fax: (404) 728-1081

    Type: Mailing

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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-03-21 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-21

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2004-04-05

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
I20040405000744IRadiation OncologyGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77014Ct guidance for insertion of radiation therapy fields10550$0
77427Radiation treatment management, 5 treatment sessions4227$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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Provider's Procedures

DR. GARY STILLWAGON (M.D) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYGA77263Management of radiation therapy, complex6358
RADIATION ONCOLOGYGA77300Calculation of radiation therapy dose52750
RADIATION ONCOLOGYGA77427Radiation treatment management, 5 treatments30276

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: 0840291944View full group profile
NameSpecialtyState
Internal MedicineGA
H O S P I T A L I S TGA
P S Y C H I A T R YGA
-GA
-GA
Hospice/Palliative Care, Hospitalist, Internal MedicineGA
Hospitalist, Internal MedicineGA
Hospitalist, Internal MedicineTN
-GA
H O S P I T A L I S TGA

Reviews

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Frequently asked questions

What number should I use to identify DR. GARY STILLWAGON (M.D) for billing?
Administrative and clinical systems typically use NPI 1548244817 for DR. GARY STILLWAGON (M.D).
Quick check: is DR. GARY STILLWAGON (M.D) active?
Public NPPES data shows DR. GARY STILLWAGON (M.D) with an active NPI status right now.
Which specialty label fits DR. GARY STILLWAGON (M.D)?
NPPES ties DR. GARY STILLWAGON (M.D) to Radiation Oncology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. GARY STILLWAGON (M.D)?
The directory associates DR. GARY STILLWAGON (M.D) with Lawrenceville, Georgia. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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