MR. GARY WAYNE GULICKSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1316243850
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
669 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OK
Provider Addresses for MR. GARY WAYNE GULICKSON (CRNA)
4500 S GARNETT RD
SUITE 300
TULSA, OK 741465229
Phone: (844) 625-2312
Type: Mailing
5501 N PORTLAND AVE
OKLAHOMA CITY, OK 731122074
Phone: (405) 604-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $54.
Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.
Last reported payment date: 2023-11-01 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($54).
Total Amount
$54
General + Research + Ownership
Payments
3
Total payment records
General Amount
$54
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $54 |
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: 2015-07-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150707001725 | I | Certified Registered Nurse Anesthetist (Crna) | OK | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 35 | 35 | $0 |
| 00910 | Anesthesia for other procedure on urinary system through urethra | 32 | 31 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 26 | 26 | $0 |
| 00873 | Anesthesia for shock wave therapy for urinary system stones without water bath | 13 | 13 | $0 |
| 00902 | Anesthesia for procedure on anus and rectum | 13 | 13 | $0 |
Insurance plans in this area (ZIP 74146)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | OK | 00142 | Anesthesia for lens surgery | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | OK | |
| - | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| A N E S T H E S I O L O G Y | TX | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| A N E S T H E S I O L O G Y | MA | |
| Anesthesiology, Critical Care (Intensivists) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TX |
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