JOHN D GAGNON (DDS) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1619911641

JOHN D GAGNON (DDS) is a healthcare provider. based in Wichita, Kansas. specializing in Oral & Maxillofacial Surgery (D.M.D.). They hold the professional credentials DDS. They hold a License No. 6850 (KS). The NPI Number for JOHN D GAGNON (DDS) is 1619911641

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
JOHN D GAGNON (DDS)
NPI
1619911641
Phone
(316) 722-0800
Address
10111 E 21st St N
Enumeration Date
16 June 2006
Last Update Date
12 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3167220800
Graduation Year
1998 (28 years ago)
PAC ID
6103720859
Group Practice PAC ID
7113255712
Professional Enrollment ID
I20031124000487
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for JOHN D GAGNON (DDS)

  • 10111 E 21st St N

    Wichita, KS 672063508

    Phone: (316) 722-0800

    Type: Location

  • 3510, North Ridge Road, Wichita, Sedgwick County, Kansas, 67205, United States

    STE 500

    WICHITA, KS 672051224

    Phone: (316) 722-0800

    Fax: (316) 722-5822

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $528.

Total Amount is formed as General ($528) + Research ($0) + Ownership ($0) = $528.

Last reported payment date: 2024-05-11 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($221).

Total Amount

$528

General + Research + Ownership

Payments

8

Total payment records

General Amount

$528

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-11

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
99202New patient office or other outpatient visit, 15-29 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 67206)

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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: 7113255712View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOHN D GAGNON (DDS)?
JOHN D GAGNON (DDS) — NPI 1619911641 — is the standard way to identify this listing.
Is JOHN D GAGNON (DDS) still practicing?
JOHN D GAGNON (DDS) is currently listed as active in the public NPI registry.
What taxonomy line describes JOHN D GAGNON (DDS)?
For research purposes, treat JOHN D GAGNON (DDS) as Oral & Maxillofacial Surgery (D.M.D.) in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JOHN D GAGNON (DDS)?
JOHN D GAGNON (DDS)'s geographic hint is Wichita, Kansas in our summary view.
Why does JOHN D GAGNON (DDS) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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