PAUL D GAMMAGE (OD) – Optometrist, NPI 1104918820

PAUL D GAMMAGE (OD) is a healthcare provider. based in Hudsonville, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901003318 (MI). The NPI Number for PAUL D GAMMAGE (OD) is 1104918820

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
PAUL D GAMMAGE (OD)
NPI
1104918820
Phone
(616) 669-2530
Address
3232 CENTRAL BLVD
Enumeration Date
29 September 2006
Last Update Date
24 June 2024

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
6166692530
Graduation Year
1989 (37 years ago)
PAC ID
0749207157
Group Practice PAC ID
2769409168
Professional Enrollment ID
I20051026001125
Address ID
MI494261439HU3232XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for PAUL D GAMMAGE (OD)

  • Central Boulevard, Hudsonville, Ottawa County, Michigan, 49426, United States

    HUDSONVILLE, MI 494261439

    Phone: (616) 669-2530

    Fax: (616) 669-3646

    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 18 Open Payments records for all available years, with a total value of $428.

Total Amount is formed as General ($428) + Research ($0) + Ownership ($0) = $428.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: CooperVision Inc. ($268).

Total Amount

$428

General + Research + Ownership

Payments

18

Total payment records

General Amount

$428

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2005-10-26

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
I20051026001125IOptometryMITBD

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
92014Established patient complete exam of visual system2828$0
99214Established patient office or other outpatient visit, 30-39 minutes1616$0
92012Established patient problem focused exam of visual system1513$0
View full utilization report →

Insurance plans in this area (ZIP 49426)

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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: 2769409168View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

How is PAUL D GAMMAGE (OD) identified in CMS data?
CMS-hosted NPPES data lists PAUL D GAMMAGE (OD) with NPI 1104918820.
Does the file indicate PAUL D GAMMAGE (OD) is practicing under active NPI?
Directory data currently reports PAUL D GAMMAGE (OD) as active.
What healthcare role does PAUL D GAMMAGE (OD) hold?
Scheduling teams often label PAUL D GAMMAGE (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
Where is PAUL D GAMMAGE (OD) based?
PAUL D GAMMAGE (OD) is tied to Hudsonville, Michigan in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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