DR. MARCUS RYAN GILLON (DMD) – Oral and Maxillofacial Surgery (Dentist), NPI 1033603030
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
145 ORAL SURGERY in TX
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Provider Addresses for DR. MARCUS RYAN GILLON (DMD)
Cambridge Street, Houston, Harris County, Texas, 77054, United States
HOUSTON, TX 770546010
Phone: (713) 486-4052
Fax: (713) 486-4333
Type: Mailing
UT Health School of Dentistry, 7500, Cambridge Street, Houston, Harris County, Texas, 77054, United States
SUITE 6510
HOUSTON, TX 77054
Phone: (713) 486-4052
Fax: (713) 486-4333
Type: Location
611 W Park St
Urbana, IL 618012529
Phone: (217) 326-1297
Type: Location
7500 Cambridge Street
Suite 6510
Houston, TX 77054
Phone: (713) 486-4052
Fax: (713) 486-4333
Type: Location
901 N LINDSAY ST
HIGH POINT, NC 272623903
Phone: (336) 884-8771
Fax: (336) 884-8770
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $1,034.
Total Amount is formed as General ($1,034) + Research ($0) + Ownership ($0) = $1,034.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($860).
Total Amount
$1,034
General + Research + Ownership
Payments
25
Total payment records
General Amount
$1,034
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $860 |
| AXOGEN | $76 |
| Stryker Corporation | $60 |
| Integra LifeSciences Corporation | $38 |
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: 2025-08-11
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 |
|---|---|---|---|---|
| I20250811000473 | I | Oral Surgery | NC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77054)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Oral Surgery | SC | |
| Maxillofacial Surgery | NC | |
| - | NC |
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