GAYLE KEIDER – Medical Physician Assistant, NPI 1891971677

GAYLE KEIDER is a healthcare provider. based in Troy, Michigan. specializing in PHYSICIAN ASSISTANT. The NPI Number for GAYLE KEIDER is 1891971677

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
GAYLE KEIDER
NPI
1891971677
Phone
(248) 828-7500
Address
115 E LONG LAKE RD
Enumeration Date
11 January 2008
Last Update Date
3 May 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6162856450
Graduation Year
2008 (18 years ago)
PAC ID
8527291285
Group Practice PAC ID
0941610596
Professional Enrollment ID
I20140502001272
Address ID
MI495061216GR2849XNEXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for GAYLE KEIDER

  • 115, East Long Lake Road, Troy, Oakland County, Michigan, 48085, United States

    TROY, MI 480855524

    Phone: (248) 828-7500

    Fax: (248) 813-6511

    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 81 Open Payments records for all available years, with a total value of $1,553.

Total Amount is formed as General ($1,553) + Research ($0) + Ownership ($0) = $1,553.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Novo Nordisk Inc ($242).

Total Amount

$1,553

General + Research + Ownership

Payments

81

Total payment records

General Amount

$1,553

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2014-05-02

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
I20140502001272IPhysician AssistantMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes12345$0
99213Established patient office or other outpatient visit, 20-29 minutes6240$0
83036Hemoglobin a1c level5718$0
82947Blood glucose (sugar) level5418$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3636$0
View full utilization report →

Insurance plans in this area (ZIP 48085)

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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: 0941610596View full group profile
NameSpecialtyState
Nurse PractitionerMI
Family PracticeMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI

Reviews

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Frequently asked questions

How is GAYLE KEIDER identified in CMS data?
CMS-hosted NPPES data lists GAYLE KEIDER with NPI 1891971677.
Does the file indicate GAYLE KEIDER is practicing under active NPI?
Directory data currently reports GAYLE KEIDER as active.
What is GAYLE KEIDER's specialty?
The listing groups GAYLE KEIDER with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does GAYLE KEIDER serve?
GAYLE KEIDER's listing highlights Troy, Michigan; more addresses can appear in NPPES.
Why does GAYLE KEIDER have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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