DAVID GILLENWATER (MD) – Anesthesiology Physician, NPI 1427026384
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
424 ANESTHESIOLOGY in KS
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Provider Addresses for DAVID GILLENWATER (MD)
St. Rose Health Center, 3515, Broadway Avenue, Great Bend, Barton County, Kansas, 67530, United States
GREAT BEND, KS 675303633
Phone: (620) 792-2511
Fax: (316) 652-0340
Type: Location
PO BOX 48037
WICHITA, KS 672018037
Phone: (316) 685-6112
Fax: (316) 652-0340
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.
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: 2004-11-23
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 |
|---|---|---|---|---|
| I20041123000954 | I | Anesthesiology | 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 |
|---|---|---|---|---|
| 62323 | Injection of substance into lower spine canal using imaging guidance | 260 | 164 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 174 | 111 | $0 |
| 20553 | Injection of trigger points, 3 or more muscles | 105 | 23 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 58 | 58 | $0 |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 37 | 27 | $0 |
Insurance plans in this area (ZIP 67530)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | KS | 62311 | Injections of substances into lower or sacral spine | 184 | 108 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KS | |
| Physician Assistant | KS | |
| - | TN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Physical Therapist In Private Practice | KS | |
| - | MS | |
| Nurse Practitioner | KS | |
| Emergency Medicine, Family Practice | KS |
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