KELLY DAVID GAGE (M.D.) – Diagnostic Radiology Physician, NPI 1356324370

KELLY DAVID GAGE (M.D.) is a healthcare provider. based in Kalamazoo, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301110085 (MI). The NPI Number for KELLY DAVID GAGE (M.D.) is 1356324370

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
KELLY DAVID GAGE (M.D.)
NPI
1356324370
Phone
(269) 341-7654
Address
601 John St
Enumeration Date
23 November 2005
Last Update Date
1 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9106104172
Graduation Year
1999 (27 years ago)
PAC ID
5991887440
Group Practice PAC ID
0648208504
Professional Enrollment ID
I20240829003535
Address ID
NC283525501LA500XXDRXX300

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

1,649 DIAGNOSTIC RADIOLOGY in MI

Provider Addresses for KELLY DAVID GAGE (M.D.)

  • 601 John St

    Kalamazoo, MI 490075341

    Phone: (269) 341-7654

    Type: Location

  • Riverside Tappahannock Hospital, 618, Hospital Road, Tappahannock, Essex County, Virginia, 22560, United States

    RIVERSIDE TAPPAHANNOCK HOSPITAL

    TAPPAHANNOCK, VA 225605000

    Phone: (804) 443-6044

    Fax: (757) 867-7547

    Type: Location

  • PO BOX 12087

    PENNINSULA RADIOLOGICAL ASSOCIATES

    NEWPORT NEWS, VA 236122087

    Phone: (757) 867-6101

    Fax: (757) 867-7547

    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: 2024-08-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20080123000633IDiagnostic RadiologyVATBD
I20240821000155IDiagnostic RadiologyMITBD
I20240829003535IDiagnostic RadiologyNCTBD

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
77080Dxa bone density measurement of hip, pelvis, spine1,3291,327$0
70450Ct scan head or brain without contrast768738$0
71045X-ray of chest, 1 view645604$0
74177Ct scan of abdomen and pelvis with contrast223217$0
72125Ct scan of upper spine without contrast216213$0
View full utilization report →

Insurance plans in this area (ZIP 49007)

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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: 0648208504View full group profile
NameSpecialtyState
Diagnostic RadiologyGA
-SC
-SC
Diagnostic RadiologyNC
Diagnostic Radiology, NeurologyNC
Certified Registered Nurse Anesthetist (Crna)VA
Diagnostic RadiologyNC
Qualified AudiologistNC
Diagnostic RadiologyNH
Diagnostic Radiology, Interventional RadiologyMO

Reviews

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Frequently asked questions

How do payers reference KELLY DAVID GAGE (M.D.)?
For KELLY DAVID GAGE (M.D.), use NPI 1356324370 as the unique 10-digit identifier.
Is KELLY DAVID GAGE (M.D.) shown as active in public data?
Registry records indicate KELLY DAVID GAGE (M.D.) maintains an active NPI.
What expertise is attributed to KELLY DAVID GAGE (M.D.)?
KELLY DAVID GAGE (M.D.)'s specialty line reads Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KELLY DAVID GAGE (M.D.)?
Travel planning: use Kalamazoo, Michigan as the reference point for KELLY DAVID GAGE (M.D.), then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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