DENNIS GOLIS (RPAC) – Surgical Physician Assistant, NPI 1114909892

DENNIS GOLIS (RPAC) is a healthcare provider. based in New hartford, New York. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials RPAC. They hold a License No. 011999 (NY). The NPI Number for DENNIS GOLIS (RPAC) is 1114909892

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DENNIS GOLIS (RPAC)
NPI
1114909892
Phone
(315) 798-1617
Address
1729 BURRSTONE RD
Enumeration Date
17 November 2005
Last Update Date
18 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3152513100
Graduation Year
2000 (26 years ago)
PAC ID
8921059205
Group Practice PAC ID
6406760073
Professional Enrollment ID
I20071113000532
Address ID
NY132141985SY5719XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,360 PHYSICIAN ASSISTANT in NY

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Provider Addresses for DENNIS GOLIS (RPAC)

  • Slocum-Dickson Medical Group, 1729, Burrstone Road, Utica, Town of New Hartford, Oneida County, New York, 13502, United States

    NEW HARTFORD, NY 13413

    Phone: (315) 798-1617

    Fax: (315) 624-1926

    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 18 Open Payments records for all available years, with a total value of $1,347.

Total Amount is formed as General ($1,347) + Research ($0) + Ownership ($0) = $1,347.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($977).

Total Amount

$1,347

General + Research + Ownership

Payments

18

Total payment records

General Amount

$1,347

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

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: 2007-11-13

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
I20071113000532IPhysician AssistantNYTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,513157$0
J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg1,12015$0
20610Aspiration and/or injection of fluid from large joint544226$0
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose32267$0
99213Established patient office or other outpatient visit, 20-29 minutes289218$0
View full utilization report →

Insurance plans in this area (ZIP 13413)

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Provider's Procedures

DENNIS GOLIS (RPAC) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTNY73562X-ray of knee, 3 views278207

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: 6406760073View full group profile
NameSpecialtyState
Nurse PractitionerNY
Physical Therapist In Private PracticeNY
Physician AssistantNY
-NY
-NY
Physician AssistantNY
Diagnostic RadiologyNY
-NY
Physician AssistantNY
Orthopedic SurgeryNY

Reviews

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Frequently asked questions

Can I use this page to confirm DENNIS GOLIS (RPAC)'s NPI?
Yes. DENNIS GOLIS (RPAC) is listed with NPI 1114909892 in the public NPI dataset.
Is DENNIS GOLIS (RPAC) still practicing?
DENNIS GOLIS (RPAC) is currently listed as active in the public NPI registry.
What is DENNIS GOLIS (RPAC) best known for clinically?
Directory data describes DENNIS GOLIS (RPAC) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does DENNIS GOLIS (RPAC) list a practice location?
Patients near New Hartford, New York may find DENNIS GOLIS (RPAC) in results; validate coverage separately.
Is the information about DENNIS GOLIS (RPAC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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