DR. EVAN GILL (M.D.) – Emergency Medicine Physician, NPI 1710419064

DR. EVAN GILL (M.D.) is a healthcare provider. based in Portland, Maine. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. EC171028 (ME). The NPI Number for DR. EVAN GILL (M.D.) is 1710419064

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. EVAN GILL (M.D.)
NPI
1710419064
Phone
(479) 629-2856
Address
22 Bramhall St
Enumeration Date
28 March 2017
Last Update Date
10 May 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
3106734660
Graduation Year
2017 (9 years ago)
PAC ID
2769755479
Group Practice PAC ID
0042469108
Professional Enrollment ID
I20200715000281
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

Provider Addresses for DR. EVAN GILL (M.D.)

  • 22 Bramhall St

    Portland, ME 041023134

    Phone: (479) 629-2856

    Type: Location

  • 1145 W Redondo Beach Blvd

    Gardena, CA 902473511

    Phone: (310) 532-4200

    Type: Location

  • Memorial Hospital of Gardena, 1145, West Redondo Beach Boulevard, Gardena, Los Angeles County, California, 90247, United States

    GARDENA, CA 902473511

    Phone: (310) 532-4200

    Type: Location

  • 2090 WESTWOOD BLVD

    LOS ANGELES, CA 900256329

    Phone: (213) 813-4070

    Type: Location

  • Laguna Beach, طريق ساحل السخنة Sukhna Coast Road, Ocean Blue Sokhna Resort, Suez Governorate, Egypt

    LAGUNA BEACH, CA 926513681

    Phone: (479) 629-2856

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $175.

Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.

Last reported payment date: 2024-07-02 • Largest payer in this snapshot: Boston Scientific Corporation ($175).

Total Amount

$175

General + Research + Ownership

Payments

1

Total payment records

General Amount

$175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-02

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-07-15

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
I20200715000281IEmergency MedicineCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes114110$0
99214Established patient office or other outpatient visit, 30-39 minutes7675$0
99203New patient office or other outpatient visit, 30-44 minutes6464$0
99204New patient office or other outpatient visit, 45-59 minutes6161$0
71046X-ray of chest, 2 views5857$0
View full utilization report →

Insurance plans in this area (ZIP 04102)

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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: 0042469108View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. EVAN GILL (M.D.)?
NPI 1710419064 is assigned to DR. EVAN GILL (M.D.) under the national enumeration system.
Is DR. EVAN GILL (M.D.) active in the national directory?
DR. EVAN GILL (M.D.)'s public NPI profile is in an active state.
Does DR. EVAN GILL (M.D.) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DR. EVAN GILL (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. EVAN GILL (M.D.)'s primary listing?
We display Portland, Maine because that is what the record indicates for DR. EVAN GILL (M.D.).
Is DR. EVAN GILL (M.D.) a real provider?
This page reflects official NPPES data for NPI 1710419064. Always confirm identity and privileges with the practice and licensing boards.

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