DR. GWYNNE A BRAGDON (M.D.) – Orthopaedic Surgery Physician, NPI 1164430856

DR. GWYNNE A BRAGDON (M.D.) is a healthcare provider. based in Providence, Rhode Island. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. MD434563 (PA). The NPI Number for DR. GWYNNE A BRAGDON (M.D.) is 1164430856

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. GWYNNE A BRAGDON (M.D.)
NPI
1164430856
Phone
(401) 443-4150
Address
PO BOX 1119
Enumeration Date
4 August 2006
Last Update Date
8 February 2019

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4014571500
Graduation Year
2002 (24 years ago)
PAC ID
7214003722
Group Practice PAC ID
9931000395
Professional Enrollment ID
I20161102003006
Address ID
RI029053248PR2XXXXSTXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

182 ORTHOPEDIC SURGERY in RI

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Provider Addresses for DR. GWYNNE A BRAGDON (M.D.)

  • 1119, Providence Road, Providence, Hampton, Baltimore County, Maryland, 21286, United States

    PROVIDENCE, RI 029011119

    Phone: (401) 443-4150

    Type: Mailing

  • 345, Valley Road, Middletown, Newport County, Rhode Island, 02842, United States

    MIDDLETOWN, RI 028425236

    Phone: (401) 380-1188

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $148.

Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: AXOGEN ($148).

Total Amount

$148

General + Research + Ownership

Payments

2

Total payment records

General Amount

$148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
AXOGEN$148
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: 2016-11-02

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
I20161102003006IOrthopedic SurgeryRITBD

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
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg386166$0
99213Established patient office or other outpatient visit, 20-29 minutes280201$0
20550Injection into tendon or ligament191114$0
73130X-ray of hand, minimum of 3 views152135$0
99203New patient office or other outpatient visit, 30-44 minutes118118$0
View full utilization report →

Insurance plans in this area (ZIP 02901)

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Provider's Procedures

DR. GWYNNE A BRAGDON (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYRI73110X-ray of wrist, minimum of 3 views2316
ORTHOPEDIC SURGERYRI73140X-ray of fingers, minimum of 2 views2915

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: 9931000395View full group profile
NameSpecialtyState
Orthopedic SurgeryRI
Physical Therapist In Private PracticeRI
Physical Therapist In Private PracticeMA
Orthopedic SurgeryRI
Orthopedic SurgeryRI
Nurse PractitionerRI
-RI
Orthopedic SurgeryRI
-RI
Physical Therapist In Private PracticeRI

Reviews

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Frequently asked questions

Does DR. GWYNNE A BRAGDON (M.D.) have a public NPI I can cite?
Public records show DR. GWYNNE A BRAGDON (M.D.) under NPI 1164430856.
Does the public listing show DR. GWYNNE A BRAGDON (M.D.) as active?
DR. GWYNNE A BRAGDON (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. GWYNNE A BRAGDON (M.D.)'s specialty?
The extract shows Orthopaedic Surgery Physician for DR. GWYNNE A BRAGDON (M.D.). Clinical services aligned with this taxonomy classification.
Can patients visit DR. GWYNNE A BRAGDON (M.D.) in Providence, Rhode Island?
For routing, start with Providence, Rhode Island for DR. GWYNNE A BRAGDON (M.D.), then verify phone and hours locally.
Who maintains DR. GWYNNE A BRAGDON (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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