GAGE HENDERSON (PA-C) – Physician Assistant, NPI 1043769847

GAGE HENDERSON (PA-C) is a healthcare provider. based in Ronan, Montana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MED-PAC-LIC-51617 (MT). The NPI Number for GAGE HENDERSON (PA-C) is 1043769847

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
GAGE HENDERSON (PA-C)
NPI
1043769847
Phone
(406) 676-4441
Address
126 6TH AVE SW
Enumeration Date
22 September 2016
Last Update Date
14 August 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4062378300
Graduation Year
2016 (10 years ago)
PAC ID
1658650577
Group Practice PAC ID
9638491574
Professional Enrollment ID
I20161117001026
Address ID
MT591053810BI32XXXLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

903 PHYSICIAN ASSISTANT in MT

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Provider Addresses for GAGE HENDERSON (PA-C)

  • Ronan Medical Clinic, 126, 6th Avenue Southwest, Ronan, Lake County, Montana, 59864, United States

    RONAN, MT 598642600

    Phone: (406) 676-4441

    Fax: (406) 676-0835

    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 $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-05-15 • Largest payer in this snapshot: Exact Sciences Corporation ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-15

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: 2016-11-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161117001026IPhysician AssistantMTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes290253$0
99214Established patient office or other outpatient visit, 30-39 minutes5048$0
81003Automated urinalysis test4441$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
90471Administration of vaccine1616$0
View full utilization report →

Insurance plans in this area (ZIP 59864)

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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: 9638491574View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to GAGE HENDERSON (PA-C)?
NPI 1043769847 is assigned to GAGE HENDERSON (PA-C) under the national enumeration system.
Is GAGE HENDERSON (PA-C)'s NPI currently valid?
The extract we use shows GAGE HENDERSON (PA-C) as active.
Can you summarize GAGE HENDERSON (PA-C)'s specialty in plain language?
Clinically, the directory lists GAGE HENDERSON (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is GAGE HENDERSON (PA-C)'s primary listing?
We display Ronan, Montana because that is what the record indicates for GAGE HENDERSON (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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