GORDON GRAY STILL (M.D.) – Pediatric Pulmonology Physician, NPI 1245572684
Pediatric Pulmonology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
119 PEDIATRIC MEDICINE in NE
Provider Addresses for GORDON GRAY STILL (M.D.)
16443 FOWLER AVE
OMAHA, NE 681163205
Phone: (919) 605-7448
Type: Mailing
984220 NEBRASKA MEDICAL CENTER
OMAHA, NE 681972250
Phone: (402) 559-6275
Type: Location
984220 Nebraska Medical Center
Omaha, NE 681972250
Phone: (402) 559-6275
Type: Location
501 N Graham St Ste 330A
Portland, OR 972272001
Phone: (503) 413-2050
Fax: (503) 413-2026
Type: Location
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
Phone: (503) 494-8023
Fax: (503) 494-8898
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 $51.
Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.
Last reported payment date: 2024-10-07 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($51).
Total Amount
$51
General + Research + Ownership
Payments
1
Total payment records
General Amount
$51
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $51 |
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: 2024-08-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20200721003865 | I | Pediatric Medicine | NE | TBD |
| I20220907001156 | I | Pediatric Medicine | OR | TBD |
| I20240822002484 | I | Pediatric Medicine | HI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | TN | |
| - | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| - | OR | |
| General Surgery, Thoracic Surgery | WA | |
| - | OR | |
| - | OR | |
| - | WA |
Reviews
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