MICHAEL GUNSON – Physician Assistant, NPI 1013528199
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
774 PHYSICIAN ASSISTANT in RI
Provider Addresses for MICHAEL GUNSON
13 PENNY LN
CRANSTON, RI 029211919
Phone:
Type: Mailing
345 BLACKSTONE BLVD
PROVIDENCE, RI 029064800
Phone: (401) 455-6346
Type: Location
345 Blackstone Blvd
Providence, RI 029064800
Phone: (401) 455-6346
Type: Location
1130 Ten Rod Rd Ste E305
North Kingstown, RI 028524176
Phone: (401) 294-0451
Type: Location
1130 TEN ROD RD STE E305
NORTH KINGSTOWN, RI 028524176
Phone:
Type: Mailing
11 COMMERCE WAY STE 5
JOHNSTON, RI 029194613
Phone: (401) 606-2610
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: 2020-11-16
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 |
|---|---|---|---|---|
| I20201116002864 | I | Physician Assistant | RI | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 147 | 147 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 95 | 78 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 40 | 40 | $0 |
| 81002 | Urinalysis, manual test | 28 | 28 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 25 | 25 | $0 |
Insurance plans in this area (ZIP 02921)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | RI | |
| O T O L A R Y N G O L O G Y | RI | |
| Qualified Audiologist | RI | |
| O T O L A R Y N G O L O G Y | RI | |
| - | RI | |
| O T O L A R Y N G O L O G Y | RI | |
| Qualified Audiologist | CT | |
| Qualified Audiologist | NY | |
| O T O L A R Y N G O L O G Y | RI | |
| O T O L A R Y N G O L O G Y | DC |
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