GAUTAM AGARWAL (M.B.B.S.) – Vascular Surgery Physician, NPI 1912982687

GAUTAM AGARWAL (M.B.B.S.) is a healthcare provider. based in Augusta, Georgia. specializing in VASCULAR SURGERY, ANESTHESIOLOGY. They hold the professional credentials M.B.B.S.. They hold a License No. 47831 (MN). The NPI Number for GAUTAM AGARWAL (M.B.B.S.) is 1912982687

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
GAUTAM AGARWAL (M.B.B.S.)
NPI
1912982687
Phone
(706) 774-7022
Address
1348 Walton Way Ste 5700
Enumeration Date
14 December 2005
Last Update Date
8 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
1993 (33 years ago)
PAC ID
6305882747
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20070731000368
Address ID
GA301527742KE5150XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

218 VASCULAR SURGERY in GA

Provider Addresses for GAUTAM AGARWAL (M.B.B.S.)

  • 1348 Walton Way Ste 5700

    Augusta, GA 309015110

    Phone: (706) 774-7022

    Fax: (706) 774-7023

    Type: Location

  • 1499, Walton Way, Augusta, Richmond County, Georgia, 30901, United States

    STE 1400

    AUGUSTA, GA 309012602

    Phone: (706) 828-8401

    Type: Mailing

  • Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States

    BA-4300

    AUGUSTA, GA 309120004

    Phone: (706) 721-3671

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $4,369.

Total Amount is formed as General ($4,369) + Research ($0) + Ownership ($0) = $4,369.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($3,451).

Total Amount

$4,369

General + Research + Ownership

Payments

54

Total payment records

General Amount

$4,369

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2007-07-31

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
I20070731000368IVascular SurgeryGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6966$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6751$0
99214Established patient office or other outpatient visit, 30-39 minutes5045$0
76937Ultrasonic guidance for blood vessel access4339$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes3433$0
View full utilization report →

Insurance plans in this area (ZIP 30901)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Does GAUTAM AGARWAL (M.B.B.S.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GAUTAM AGARWAL (M.B.B.S.) uses 1912982687.
Is GAUTAM AGARWAL (M.B.B.S.) listed as active for patients and plans?
The listing shows GAUTAM AGARWAL (M.B.B.S.) as active in the NPI system.
What is GAUTAM AGARWAL (M.B.B.S.) best known for clinically?
Directory data describes GAUTAM AGARWAL (M.B.B.S.) with Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect GAUTAM AGARWAL (M.B.B.S.) on a map?
Expect Augusta, Georgia as a primary anchor for GAUTAM AGARWAL (M.B.B.S.) unless the record lists multiple sites.
Why does GAUTAM AGARWAL (M.B.B.S.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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