ABIGAIL GREGORY (PA) – Physician Assistant, NPI 1063880714

ABIGAIL GREGORY (PA) is a healthcare provider. based in Indianapolis, Indiana. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 10001918A (IN). The NPI Number for ABIGAIL GREGORY (PA) is 1063880714

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ABIGAIL GREGORY (PA)
NPI
1063880714
Phone
(317) 783-7474
Address
6333 S EAST ST
Enumeration Date
11 September 2015
Last Update Date
26 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3179677921
Graduation Year
2015 (11 years ago)
PAC ID
1254640089
Group Practice PAC ID
7012206303
Professional Enrollment ID
I20151019001551
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for ABIGAIL GREGORY (PA)

  • 6333 S EAST ST

    INDIANAPOLIS, IN 462277107

    Phone: (317) 783-7474

    Type: Location

  • 10152 LAUREN PASS

    FISHERS, IN 460379326

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 201 Open Payments records for all available years, with a total value of $3,250.

Total Amount is formed as General ($3,250) + Research ($0) + Ownership ($0) = $3,250.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($581).

Total Amount

$3,250

General + Research + Ownership

Payments

201

Total payment records

General Amount

$3,250

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2015-10-19

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
I20151019001551IPhysician AssistantINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46227)

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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: 7012206303View full group profile
NameSpecialtyState
General PracticeOH
Nurse PractitionerIN
D E R M A T O L O G YIN
Physician AssistantIL
Physician AssistantIN

Reviews

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Frequently asked questions

What is the standard ID for ABIGAIL GREGORY (PA) in the U.S.?
In the U.S., ABIGAIL GREGORY (PA) is identified by NPI 1063880714.
Should I treat ABIGAIL GREGORY (PA) as an active provider?
Patients and plans typically see ABIGAIL GREGORY (PA) as active in the national extract.
How should patients interpret ABIGAIL GREGORY (PA)'s specialty?
The extract shows Physician Assistant for ABIGAIL GREGORY (PA). Clinical services aligned with this taxonomy classification.
What geographic area is tied to ABIGAIL GREGORY (PA)?
ABIGAIL GREGORY (PA) is associated with Indianapolis, Indiana in the same public data insurers reference.
Why is information missing for ABIGAIL GREGORY (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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