MR. GARY GORDAN II OLUND (PA-C) – Physician Assistant, NPI 1275069163

MR. GARY GORDAN II OLUND (PA-C) is a healthcare provider. based in Fort riley, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 15-02113 (KS). The NPI Number for MR. GARY GORDAN II OLUND (PA-C) is 1275069163

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. GARY GORDAN II OLUND (PA-C)
NPI
1275069163
Phone
(785) 239-7667
Address
600 CAISSON HILL RD
Enumeration Date
11 May 2017
Last Update Date
11 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7852434272
Graduation Year
2016 (10 years ago)
PAC ID
4789920588
Group Practice PAC ID
4082522859
Professional Enrollment ID
I20190116000881
Address ID
KS669389664CL311XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

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Provider Addresses for MR. GARY GORDAN II OLUND (PA-C)

  • Irwin Army Community Hospital, 600, Caisson Hill Road, Geary County, Kansas, 66442, United States

    FORT RILEY, KS 664427037

    Phone: (785) 239-7667

    Type: Location

  • 650 HUEBNER RD

    FORT RILEY, KS 664424030

    Phone: (785) 240-5607

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-01-16

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
I20190116000881IPhysician AssistantKSTBD

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 66442)

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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: 4082522859View full group profile
NameSpecialtyState
Physician AssistantKS
Physician AssistantKS
Rheumatology, Allergy/Immunology, Internal Medicine, RheumatologyKS
Family PracticeKS
Nurse PractitionerKS
Family PracticeKS
Physician AssistantKS
Nurse PractitionerKS
Nurse PractitionerKS
Family PracticeKS

Reviews

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Frequently asked questions

Does MR. GARY GORDAN II OLUND (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. GARY GORDAN II OLUND (PA-C) uses 1275069163.
Is MR. GARY GORDAN II OLUND (PA-C) listed as active for patients and plans?
The listing shows MR. GARY GORDAN II OLUND (PA-C) as active in the NPI system.
What is MR. GARY GORDAN II OLUND (PA-C)'s specialty?
The listing groups MR. GARY GORDAN II OLUND (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MR. GARY GORDAN II OLUND (PA-C) list a practice location?
Patients near Fort Riley, Kansas may find MR. GARY GORDAN II OLUND (PA-C) in results; validate coverage separately.
Is the information about MR. GARY GORDAN II OLUND (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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