GORDON L BRADY (DMD) – Oral and Maxillofacial Surgery (Dentist), NPI 1619085396
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
76 ORAL SURGERY in GA
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Provider Addresses for GORDON L BRADY (DMD)
1463, Klondike Road Southwest, Conyers, Rockdale County, Georgia, 30094, United States
SUITE C
CONYERS, GA 30094
Phone: (770) 483-9692
Fax: (678) 487-1004
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 76 Open Payments records for all available years, with a total value of $1,328.
Total Amount is formed as General ($1,328) + Research ($0) + Ownership ($0) = $1,328.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: ZIMVIE INC. ($532).
Total Amount
$1,328
General + Research + Ownership
Payments
76
Total payment records
General Amount
$1,328
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZIMVIE INC. | $532 |
| Nobel Biocare USA | $466 |
| BioHorizons Implant Systems Inc. | $208 |
| Straumann USA LLC | $93 |
| Highridge Medical LLC | $20 |
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: 2011-01-26
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20110126000179 | I | Oral 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 |
|---|---|---|---|---|
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 30094)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Maxillofacial Surgery, Oral Surgery | MS | |
| Oral Surgery, Maxillofacial Surgery | GA | |
| - | GA | |
| Oral Surgery | GA | |
| Oral Surgery | CA | |
| - | IN | |
| Oral Surgery | GA | |
| Oral Surgery | GA | |
| Oral Surgery | GA | |
| - | GA |
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