DR. GONZALO PANDOLFI (MD) – Gastroenterology Physician, NPI 1821010760
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
475 GASTROENTEROLOGY in WA
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Provider Addresses for DR. GONZALO PANDOLFI (MD)
1243, Rickert Drive, Naperville, DuPage County, Illinois, 60540, United States
NAPERVILLE, IL 605400954
Phone: (509) 248-7849
Fax: (509) 249-5042
Type: Mailing
Creekside Loop, Yakima, Yakima County, Washington, 98902, United States
SUITE 130
YAKIMA, WA 989024880
Phone: (509) 248-6616
Fax: (509) 248-4983
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $332.
Total Amount is formed as General ($332) + Research ($0) + Ownership ($0) = $332.
Last reported payment date: 2024-08-16 • Largest payer in this snapshot: Endogastric Solutions, Inc ($143).
Total Amount
$332
General + Research + Ownership
Payments
4
Total payment records
General Amount
$332
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Endogastric Solutions, Inc | $143 |
| ABBVIE INC. | $125 |
| STERIS CORPORATION | $41 |
| Cook Medical LLC | $24 |
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: 2012-04-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120410000728 | I | Gastroenterology | 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 |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 224 | 215 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 156 | 155 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 145 | 145 | $0 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 71 | 55 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 70 | 68 | $0 |
Insurance plans in this area (ZIP 60540)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Nurse Practitioner | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Gastroenterology, Internal Medicine | KY | |
| Nurse Practitioner | IL | |
| - | IL | |
| Nurse Practitioner | IL |
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