JOHN P. GAVIN (M.D.) – Pediatric Otolaryngology Physician, NPI 1023211745

JOHN P. GAVIN (M.D.) is a healthcare provider. based in Albany, New York. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 244142 (NY). The NPI Number for JOHN P. GAVIN (M.D.) is 1023211745

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
JOHN P. GAVIN (M.D.)
NPI
1023211745
Phone
(518) 262-6240
Address
50 NEW SCOTLAND AVE FL 2
Enumeration Date
8 June 2007
Last Update Date
23 May 2022

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
5890726582
Group Practice PAC ID
1759293111
Professional Enrollment ID
I20071031000043
Address ID
NY122083412AL47XXXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

976 OTOLARYNGOLOGY in NY

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Provider Addresses for JOHN P. GAVIN (M.D.)

  • 50 NEW SCOTLAND AVE FL 2

    ALBANY, NY 122083403

    Phone: (518) 262-6240

    Fax: (518) 262-4223

    Type: Mailing

  • PO BOX 8836

    ALBANY, NY 122080836

    Phone: (518) 262-5575

    Fax: (518) 262-5184

    Type: Mailing

  • 35, Hackett Boulevard, Delaware Avenue, Albany, Albany County, New York, 12208, United States

    ALBANY, NY 122083420

    Phone: (518) 262-5575

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-10-31

PECOS data refreshed: 2026-06-15

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
I20071031000043IOtolaryngologyNYTBD

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 12208)

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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: 1759293111View full group profile
NameSpecialtyState
N E U R O L O G YNY
-NY
-NY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
P S Y C H I A T R YNC
Emergency Medicine, Critical Care (Intensivists)NY
Thoracic SurgeryNY
-NY
Vascular SurgeryNY

Reviews

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Frequently asked questions

Can I use this page to confirm JOHN P. GAVIN (M.D.)'s NPI?
Yes. JOHN P. GAVIN (M.D.) is listed with NPI 1023211745 in the public NPI dataset.
Is JOHN P. GAVIN (M.D.) still practicing?
JOHN P. GAVIN (M.D.) is currently listed as active in the public NPI registry.
What is JOHN P. GAVIN (M.D.)'s specialty?
The listing groups JOHN P. GAVIN (M.D.) with Pediatric Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JOHN P. GAVIN (M.D.) on a map?
Expect Albany, New York as a primary anchor for JOHN P. GAVIN (M.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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