MARK F GILLETTE (PA-C) – Physician Assistant, NPI 1043482680
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MARK F GILLETTE (PA-C)
PO BOX 1239
TROY, MI 480991239
Phone: (248) 824-6600
Fax: (855) 618-6655
Type: Mailing
3355, Eagle Park Drive Northeast, Eaglecrest Office Park, Grand Rapids Charter Township, Kent County, Michigan, 49525, United States
SUITE 103
GRAND RAPIDS, MI 495257004
Phone: (616) 942-7400
Fax: (616) 942-7405
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $365.
Total Amount is formed as General ($365) + Research ($0) + Ownership ($0) = $365.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($240).
Total Amount
$365
General + Research + Ownership
Payments
6
Total payment records
General Amount
$365
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $240 |
| Otsuka America Pharmaceutical, Inc. | $125 |
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: 2008-05-01
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 |
|---|---|---|---|---|
| I20080501000451 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 729 | 242 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 153 | 112 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 101 | 53 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 98 | 98 | $0 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 73 | 37 | $0 |
Insurance plans in this area (ZIP 48099)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | MI | |
| - | OH | |
| - | WI | |
| Nurse Practitioner | KY | |
| Internal Medicine | MI | |
| Internal Medicine | MI | |
| Internal Medicine | WI | |
| - | VA | |
| - | WI |
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