GARY LYNN SAYRE (PA-C) – Physician Assistant, NPI 1093078453

GARY LYNN SAYRE (PA-C) is a healthcare provider. based in Whiteman afb, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for GARY LYNN SAYRE (PA-C) is 1093078453

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
GARY LYNN SAYRE (PA-C)
NPI
1093078453
Phone
(660) 687-4299
Address
331 SIJEN AVE
Enumeration Date
20 June 2012
Last Update Date
12 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3183533412
Graduation Year
2012 (14 years ago)
PAC ID
6709223894
Group Practice PAC ID
6800051285
Professional Enrollment ID
I20240325003637
Address ID
LA714493009MA160XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:13State licenses:0Digital endpointsOther names

1,854 PHYSICIAN ASSISTANT in MO

Provider Addresses for GARY LYNN SAYRE (PA-C)

  • 331 SIJEN AVE

    WHITEMAN AFB, MO 653051269

    Phone: (660) 687-4299

    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 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: PFIZER INC. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$13
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: 2024-03-25

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
I20240325003637IPhysician AssistantLATBD

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 65305)

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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: 6800051285View full group profile

Reviews

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Frequently asked questions

What NPI should I save for GARY LYNN SAYRE (PA-C)?
Save NPI 1093078453 if you need a stable reference for GARY LYNN SAYRE (PA-C).
Does this profile mean GARY LYNN SAYRE (PA-C) is currently active?
Yes — GARY LYNN SAYRE (PA-C) appears active in the national provider directory.
What does GARY LYNN SAYRE (PA-C) treat or focus on?
Patients typically see GARY LYNN SAYRE (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Does GARY LYNN SAYRE (PA-C) practice in Missouri?
You will see Whiteman Afb, Missouri on file for GARY LYNN SAYRE (PA-C) alongside any extra practice locations.
Is GARY LYNN SAYRE (PA-C) a real provider?
This page reflects official NPPES data for NPI 1093078453. Always confirm identity and privileges with the practice and licensing boards.

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