GARY GANSEN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1992170856

GARY GANSEN (DPM) is a healthcare provider. based in Fort dodge, Iowa. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 078754 (IA). The NPI Number for GARY GANSEN (DPM) is 1992170856

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
GARY GANSEN (DPM)
NPI
1992170856
Phone
(515) 574-6880
Address
804 KENYON RD
Enumeration Date
3 December 2015
Last Update Date
3 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6416830800
Graduation Year
2015 (11 years ago)
PAC ID
8921362252
Group Practice PAC ID
9739077652
Professional Enrollment ID
I20180514000967
Address ID
IA525014231OT522XXSTXX400
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

216 PODIATRY in IA

Provider Addresses for GARY GANSEN (DPM)

  • 804 KENYON RD

    SUITE 310

    FORT DODGE, IA 505015742

    Phone: (515) 574-6880

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $627.

Total Amount is formed as General ($627) + Research ($0) + Ownership ($0) = $627.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Stryker Corporation ($437).

Total Amount

$627

General + Research + Ownership

Payments

12

Total payment records

General Amount

$627

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-05-14

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
I20180514000967IPodiatryIATBD

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
11721Removal of fingernails or toenails, 6 or more nails11140$0
99213Established patient office or other outpatient visit, 20-29 minutes3022$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 50501)

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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: 9739077652View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerTX
Nurse PractitionerIA
Geriatric Medicine, Family PracticeIA
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerIA

Reviews

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Frequently asked questions

Does GARY GANSEN (DPM) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GARY GANSEN (DPM) uses 1992170856.
Is GARY GANSEN (DPM) still practicing?
GARY GANSEN (DPM) is currently listed as active in the public NPI registry.
What taxonomy line describes GARY GANSEN (DPM)?
For research purposes, treat GARY GANSEN (DPM) as Foot & Ankle Surgery Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
Does GARY GANSEN (DPM) list a practice location?
Patients near Fort Dodge, Iowa may find GARY GANSEN (DPM) in results; validate coverage separately.
Is the information about GARY GANSEN (DPM) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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