GABRIEL OMAR DE LA GARZA (MD) – Otolaryngology Physician, NPI 1205070612
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
106 OTOLARYNGOLOGY in KS
Provider Addresses for GABRIEL OMAR DE LA GARZA (MD)
700 W CENTRAL AVE SUITE 200
ELDORADO, KS 67042
Phone: (316) 684-2838
Fax: (316) 684-3326
Type: Location
10090 E SHANNON WOODS CIR
WICHITA, KS 672264107
Phone: (316) 684-2838
Fax: (316) 684-3326
Type: Location
North Emporia Street, Wichita, Sedgwick County, Kansas, 67204-4502, United States
OTOLARYNGOLOGY DEPT.
WICHITA, KS 672143726
Phone: (316) 684-2838
Fax: (316) 684-3326
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $450.
Total Amount is formed as General ($450) + Research ($0) + Ownership ($0) = $450.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($147).
Total Amount
$450
General + Research + Ownership
Payments
21
Total payment records
General Amount
$450
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-06-03
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 |
|---|---|---|---|---|
| I20150603000338 | I | Otolaryngology | KS | 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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 2,045 | 145 | $0 |
| 95004 | Test for allergy using allergenic extract | 1,126 | 33 | $0 |
| 95117 | Professional service for multiple injections of allergen | 1,068 | 193 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 1,017 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 172 | 121 | $0 |
Insurance plans in this area (ZIP 67042)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | KS | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 500 | 105 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| General Surgery | KS | |
| General Surgery | KS | |
| Vascular Surgery, General Surgery | KS | |
| Qualified Audiologist | KS | |
| General Surgery | KS | |
| Vascular Surgery | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | KS | |
| Colorectal Surgery (Proctology) | KS |
Reviews
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