MR. GARY A DERAAD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1851393623
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,371 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KY
Provider Addresses for MR. GARY A DERAAD (CRNA)
800 ROSE ST
LEXINGTON, KY 405367001
Phone: (859) 323-5956
Fax: (859) 323-1080
Type: Location
2801, Bay Park Drive, Oregon, Lucas County, Ohio, 43616, United States
DEPARTMENT OF SURGERY
OREGON, OH 436164920
Phone: (419) 690-7652
Fax: (419) 697-7726
Type: Location
2801 Bay Park Dr
Department of Surgery
Oregon, OH 436164920
Phone: (419) 690-7652
Fax: (419) 697-7726
Type: Location
26699, Mohawk Drive, Crandenbrook, Perrysburg, Wood County, Ohio, 43551, United States
PERRYSBURG, OH 435515403
Phone: (419) 690-7652
Fax: (419) 697-7726
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: 2024-06-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (892 days ago).
Enrollment records
4
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20040206000259 | I | Certified Registered Nurse Anesthetist (Crna) | KY | TBD |
| I20141226000113 | I | Certified Registered Nurse Anesthetist (Crna) | OH | 2023-12-31 |
| I20200709000494 | I | Certified Registered Nurse Anesthetist (Crna) | CO | TBD |
| I20240626001405 | I | Certified Registered Nurse Anesthetist (Crna) | NE | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 01402 | Anesthesia for procedure for total knee joint replacement | 35 | 35 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 25 | 25 | $0 |
| 00537 | Anesthesia for procedure to assess heart electrical activity | 23 | 23 | $0 |
| 01992 | Anesthesia for nerve block and injection procedure, prone position | 19 | 16 | $0 |
| 01214 | Anesthesia for total hip replacement | 12 | 12 | $0 |
Insurance plans in this area (ZIP 40536)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | OH | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| - | CO | |
| - | CO | |
| - | MO | |
| O T O L A R Y N G O L O G Y | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO |
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