DR. WARD ROBERT GILLETT (M.D.) – Urology Physician, NPI 1053302562

DR. WARD ROBERT GILLETT (M.D.) is a healthcare provider. based in Traverse city, Michigan. specializing in Urology Physician. They hold the professional credentials M.D.. They hold a License No. 4301045761 (MI). The NPI Number for DR. WARD ROBERT GILLETT (M.D.) is 1053302562

Main info

Male
Accepts Medicare Assignment
Name
DR. WARD ROBERT GILLETT (M.D.)
NPI
1053302562
Phone
(231) 935-0322
Address
3922 CEDAR RUN RD
Enumeration Date
3 November 2005
Last Update Date
18 December 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
2319350322
Graduation Year
null (2026 years ago)
PAC ID
1052301322
Group Practice PAC ID
3072426287
Professional Enrollment ID
I20100326000522

Contacts

Secure Messaging
wgillett@direct.mhc.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for DR. WARD ROBERT GILLETT (M.D.)

  • 3922 CEDAR RUN RD

    TRAVERSE CITY, MI 496849687

    Phone: (231) 935-0322

    Fax: (231) 935-0334

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $71.

Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.

Last reported payment date: 2024-03-29 • Largest payer in this snapshot: COLOPLAST CORP ($71).

Total Amount

$71

General + Research + Ownership

Payments

2

Total payment records

General Amount

$71

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
COLOPLAST CORP$71
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: 2010-03-26

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
I20100326000522IUrologyMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49684)

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Provider's Procedures

DR. WARD ROBERT GILLETT (M.D.) performs procedures in Urology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYMI55700Biopsy of prostate gland1818
UROLOGYMI76872Ultrasound of rectum1717

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: 3072426287View full group profile

Reviews

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Frequently asked questions

How do I look up DR. WARD ROBERT GILLETT (M.D.) by NPI?
Use NPI 1053302562 when you need to reference DR. WARD ROBERT GILLETT (M.D.) in forms, claims, or directories.
Is DR. WARD ROBERT GILLETT (M.D.)'s NPI currently valid?
The extract we use shows DR. WARD ROBERT GILLETT (M.D.) as active.
What kind of provider is DR. WARD ROBERT GILLETT (M.D.)?
The page reflects Urology Physician for DR. WARD ROBERT GILLETT (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. WARD ROBERT GILLETT (M.D.)?
We surface Traverse City, Michigan for DR. WARD ROBERT GILLETT (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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