MR. ADAM T GOMOLL (PA C) – Physician Assistant, NPI 1598730715
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for MR. ADAM T GOMOLL (PA C)
2601 COOLIDGE RD STE 200
EAST LANSING, MI 488236381
Phone: (517) 203-3000
Fax: (517) 203-3003
Type: Location
33301, Woodward Avenue, Birmingham, Oakland County, Michigan, 48009, United States
BIRMINGHAM, MI 480090905
Phone: (248) 642-9111
Fax: (248) 642-3905
Type: Mailing
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 162 Open Payments records for all available years, with a total value of $2,780.
Total Amount is formed as General ($2,780) + Research ($0) + Ownership ($0) = $2,780.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($617).
Total Amount
$2,780
General + Research + Ownership
Payments
162
Total payment records
General Amount
$2,780
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $617 |
| Janssen Biotech, Inc. | $281 |
| ABBVIE INC. | $232 |
| Arcutis Biotherapeutics, Inc. | $209 |
| GENZYME CORPORATION | $197 |
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: 2008-09-17
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 |
|---|---|---|---|---|
| I20080917000361 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 138 | 117 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 110 | 36 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 93 | 63 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 92 | 62 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 77 | 77 | $0 |
Insurance plans in this area (ZIP 48823)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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