GERALD E GONNELLA (P.A.) – Surgical Physician Assistant, NPI 1801894407
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for GERALD E GONNELLA (P.A.)
3691 Willowcreek Rd
Portage, IN 463685080
Phone: (219) 921-1444
Fax: (219) 921-5303
Type: Location
500 E 109th Ave
Crown Point, IN 46307
Phone: (219) 921-1444
Fax: (219) 921-5303
Type: Location
Gateway Boulevard, Chesterton, Porter County, Indiana, 46304, United States
CHESTERTON, IN 463049658
Phone: (219) 921-1444
Fax: (219) 921-5303
Type: Mailing
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.
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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: 2010-08-03
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 |
|---|---|---|---|---|
| I20100803000802 | I | Physician Assistant | IN | 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 |
|---|---|---|---|---|
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 37 | 27 | $0 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 26 | 19 | $0 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 24 | 24 | $0 |
| 22633 | Fusion of spine in lower back with partial removal of spine bone and disc | 23 | 22 | $0 |
| 22840 | Placement of stabilizing device to back of 1 spine bone in neck | 23 | 23 | $0 |
Insurance plans in this area (ZIP 46368)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IN | |
| Physician Assistant | IN | |
| Physician Assistant | IN |
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