MR. BYRON BLAKE GORMAN (DO) – Critical Care Medicine (Anesthesiology) Physician, NPI 1174515522

MR. BYRON BLAKE GORMAN (DO) is a healthcare provider. based in Kansas city, Missouri. specializing in ANESTHESIOLOGY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials DO. They hold a License No. 05-42050 (KS). The NPI Number for MR. BYRON BLAKE GORMAN (DO) is 1174515522

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. BYRON BLAKE GORMAN (DO)
NPI
1174515522
Phone
(816) 932-3679
Address
4401 WORNALL RD
Enumeration Date
19 August 2005
Last Update Date
6 June 2025

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3162685000
Graduation Year
2014 (12 years ago)
PAC ID
2062638729
Group Practice PAC ID
5799696944
Professional Enrollment ID
I20200502000122
Address ID
KS672143821WI929XXAVEX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Digital endpointsOther names

1,228 ANESTHESIOLOGY in MO

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Provider Addresses for MR. BYRON BLAKE GORMAN (DO)

  • 4401, Wornall Road, Plaza-Westport, Country Club Plaza, Kansas City, Jackson County, Missouri, 64111, United States

    KANSAS CITY, MO 64111

    Phone: (816) 932-3679

    Fax: (816) 932-9089

    Type: Location

  • 1010 N Kansas St

    Wichita, KS 672143124

    Phone: (316) 293-2665

    Type: Location

  • 929 N Saint Francis Ave

    Wichita, KS 672143821

    Phone: (844) 468-9498

    Type: Location

  • 901, East 104th Street, Executive Hills East, Kansas City, Jackson County, Missouri, 64131, United States

    MAILSTOP 400S

    KANSAS CITY, MO 64131

    Phone: (816) 502-7117

    Type: Mailing

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 $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($108).

Total Amount

$108

General + Research + Ownership

Payments

1

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

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: 2020-05-02

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
I20200502000122IAnesthesiologyKSTBD

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
99291Critical care, first 30-74 minutes8261$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)5151$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3426$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3120$0
36620Insertion of artery tube for blood sampling or infusion through skin2525$0
View full utilization report →

Insurance plans in this area (ZIP 64111)

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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: 5799696944View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineKS
Internal Medicine, Cardiovascular Disease (Cardiology)KS
Anesthesiology, Critical Care (Intensivists)MO
Cardiovascular Disease (Cardiology), Internal MedicineKS
Anesthesiology, Critical Care (Intensivists)KS
P S Y C H I A T R YOH
-KS
Nurse PractitionerKS
General SurgeryKS
-KS

Reviews

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Frequently asked questions

What federal number belongs to MR. BYRON BLAKE GORMAN (DO)?
The federal identifier for MR. BYRON BLAKE GORMAN (DO) is NPI 1174515522.
Is MR. BYRON BLAKE GORMAN (DO) currently active in the NPI registry?
CMS-published data lists MR. BYRON BLAKE GORMAN (DO) as an active registrant.
What kind of provider is MR. BYRON BLAKE GORMAN (DO)?
The page reflects Critical Care Medicine (Anesthesiology) Physician for MR. BYRON BLAKE GORMAN (DO). Clinical services aligned with this taxonomy classification.
What location shows for MR. BYRON BLAKE GORMAN (DO)?
We surface Kansas City, Missouri for MR. BYRON BLAKE GORMAN (DO) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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