MIRIAM ENID GAGE (MD) – Family Medicine Physician, NPI 1053418723

MIRIAM ENID GAGE (MD) is a healthcare provider. based in Springfield, Oregon. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. MD25159 (OR). The NPI Number for MIRIAM ENID GAGE (MD) is 1053418723

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
MIRIAM ENID GAGE (MD)
NPI
1053418723
Phone
(541) 682-3550
Address
2073 OLYMPIC STREET
Enumeration Date
17 September 2006
Last Update Date
8 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416823608
Graduation Year
1993 (33 years ago)
PAC ID
9830151570
Group Practice PAC ID
7416853833
Professional Enrollment ID
I20041103001057
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MIRIAM ENID GAGE (MD)

  • 2073, Olympic Street, Olympic Hills, Springfield, Clark County, Ohio, 45503, United States

    SPRINGFIELD, OR 974773413

    Phone: (541) 682-3550

    Fax: (541) 682-3551

    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)

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: 2004-11-03

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
I20041103001057IFamily PracticeORTBD

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
83036Hemoglobin a1c level2518$0
View full utilization report →

Insurance plans in this area (ZIP 97477)

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Provider's Procedures

MIRIAM ENID GAGE (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOR83036Hemoglobin A1C level6142

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: 7416853833View full group profile

Reviews

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Frequently asked questions

Does MIRIAM ENID GAGE (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MIRIAM ENID GAGE (MD) uses 1053418723.
Does the file indicate MIRIAM ENID GAGE (MD) is practicing under active NPI?
Directory data currently reports MIRIAM ENID GAGE (MD) as active.
What is MIRIAM ENID GAGE (MD)'s primary classification?
Family Medicine Physician is the headline specialty for MIRIAM ENID GAGE (MD) here. Clinical services aligned with this taxonomy classification.
Does MIRIAM ENID GAGE (MD) list a practice location?
Patients near Springfield, Oregon may find MIRIAM ENID GAGE (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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