GRETCHEN WAYNE FAWCETT (PA-C) – Physician Assistant, NPI 1588758700
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for GRETCHEN WAYNE FAWCETT (PA-C)
180 S Main St
Canton, IL 615202608
Phone: (309) 647-0201
Fax: (309) 649-6880
Type: Location
Graham Medical Group, 180, South Main Street, Canton, Fulton County, Illinois, 61520, United States
CANTON, IL 615202608
Phone: (309) 647-0201
Fax: (309) 649-5101
Type: Mailing
408, South Main Street, Lewistown, Fulton County, Illinois, 61542, United States
LEWISTOWN, IL 615421563
Phone: (309) 547-9700
Fax: (309) 649-6880
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: 2008-01-25
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 |
|---|---|---|---|---|
| I20080125000236 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 31 | $0 |
Insurance plans in this area (ZIP 61520)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Emergency Medicine | IL | |
| Nurse Practitioner | IL | |
| Vascular Surgery, General Surgery | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Vascular Surgery | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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