MR. GABRIEL C FUQUA (M.D.) – Psychiatry Physician, NPI 1497198832

MR. GABRIEL C FUQUA (M.D.) is a healthcare provider. based in Woodstock, Illinois. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 036142096 (IL). The NPI Number for MR. GABRIEL C FUQUA (M.D.) is 1497198832

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. GABRIEL C FUQUA (M.D.)
NPI
1497198832
Phone
(815) 338-6600
Address
3701 DOTY RD
Enumeration Date
16 April 2013
Last Update Date
19 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8157594874
Graduation Year
2012 (14 years ago)
PAC ID
1254602196
Group Practice PAC ID
5890696231
Professional Enrollment ID
I20170810001622
Address ID
IL600508409MC4201XDRXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,367 PSYCHIATRY in IL

Provider Addresses for MR. GABRIEL C FUQUA (M.D.)

  • 3701 DOTY RD

    WOODSTOCK, IL 60098

    Phone: (815) 338-6600

    Fax: (815) 206-5376

    Type: Location

  • 4802 10th Avenue

    Maimonides Medical Center

    Brooklyn, NY 11219

    Phone: (718) 283-6879

    Type: Location

  • 4201 W Medical Center Dr

    McHenry, IL 600508409

    Phone: (815) 338-6600

    Fax: (815) 206-5376

    Type: Location

  • 10400 Haligus Rd

    Huntley, IL 601429553

    Phone: (815) 338-6600

    Fax: (815) 206-5376

    Type: Location

  • 10350 Haligus Rd Ste 200

    Huntley, IL 601429545

    Phone: (815) 338-6600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-08-10

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
I20170810001622IPsychiatryILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes216105$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8334$0
90792Psychiatric diagnostic evaluation with medical services3636$0
99239Hospital discharge day management, more than 30 minutes1814$0
View full utilization report →

Insurance plans in this area (ZIP 60098)

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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: 5890696231View full group profile
NameSpecialtyState
General SurgeryIL
Vascular SurgeryIL
-IL
Nurse PractitionerIL
-IL
C H I R O P R A C T I CIL
Family PracticeIL
Physical Medicine And RehabilitationCO
-IL
Hospitalist, Family PracticeIL

Reviews

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Frequently asked questions

Does MR. GABRIEL C FUQUA (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. GABRIEL C FUQUA (M.D.) uses 1497198832.
Does the file indicate MR. GABRIEL C FUQUA (M.D.) is practicing under active NPI?
Directory data currently reports MR. GABRIEL C FUQUA (M.D.) as active.
What taxonomy line describes MR. GABRIEL C FUQUA (M.D.)?
For research purposes, treat MR. GABRIEL C FUQUA (M.D.) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MR. GABRIEL C FUQUA (M.D.) on a map?
Expect Woodstock, Illinois as a primary anchor for MR. GABRIEL C FUQUA (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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