MEGANNE GOURLEY (PA-C, ATC) – Physician Assistant, NPI 1275646978
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
Provider Addresses for MEGANNE GOURLEY (PA-C, ATC)
2500 Canterbury Dr Ste 112
Hays, KS 676012258
Phone: (785) 261-7599
Type: Location
Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States
MINNEAPOLIS, MN 554071321
Phone: (612) 262-5000
Type: Mailing
100, State Avenue, Faribault, Rice County, Minnesota, 55021, United States
FARIBAULT, MN 550216337
Phone: (507) 334-3921
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $72.
Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.
Last reported payment date: 2024-06-04 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($32).
Total Amount
$72
General + Research + Ownership
Payments
4
Total payment records
General Amount
$72
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $32 |
| Ferring Pharmaceuticals Inc. | $22 |
| Conetic Solutions, Inc. | $18 |
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: 2025-12-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20171205001523 | I | Physician Assistant | MN | TBD |
| I20190130001528 | I | Physician Assistant | NE | TBD |
| I20251223000746 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 196 | 151 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 56 | 48 | $0 |
| 73562 | X-ray of knee, 3 views | 51 | 44 | $0 |
| 73502 | X-ray of hip, 2-3 views | 40 | 37 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 22 | 20 | $0 |
Insurance plans in this area (ZIP 67601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MN | |
| - | MN | |
| Clinical Social Worker | MN | |
| - | MN | |
| U R O L O G Y | MA | |
| Emergency Medicine | MN | |
| Physician Assistant | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN |
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