DR. ANTHONY NICKOLAS II GAVALAS (MD) – Orthopaedic Surgery Physician, NPI 1114544830

DR. ANTHONY NICKOLAS II GAVALAS (MD) is a healthcare provider. based in Fort hood, Texas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. MMD.88501 (SC). The NPI Number for DR. ANTHONY NICKOLAS II GAVALAS (MD) is 1114544830

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTHONY NICKOLAS II GAVALAS (MD)
NPI
1114544830
Phone
Not provided
Address
36065 SANTA FE AVE
Enumeration Date
29 June 2020
Last Update Date
1 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
9037315030
Graduation Year
2020 (6 years ago)
PAC ID
3375039779
Group Practice PAC ID
6305901927
Professional Enrollment ID
I20260106002599
Address ID
TX758018405PA4002XLOOP301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

2,187 ORTHOPEDIC SURGERY in TX

Provider Addresses for DR. ANTHONY NICKOLAS II GAVALAS (MD)

  • 36065 SANTA FE AVE

    FORT HOOD, TX 765445060

    Phone:

    Type: Mailing

  • 4801 ALBERTA AVE

    EL PASO, TX 799052707

    Phone: (915) 205-5205

    Type: Mailing

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: 2026-01-06

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
I20260106002599IOrthopedic SurgeryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76544)

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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: 6305901927View full group profile
NameSpecialtyState
Family PracticeTX
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerTX
-TX
-TX
Nurse PractitionerTX
Cardiovascular Disease (Cardiology)TN
Cardiovascular Disease (Cardiology), Nuclear MedicineTX
Orthopedic SurgeryTX
Cardiovascular Disease (Cardiology)TN

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ANTHONY NICKOLAS II GAVALAS (MD)?
DR. ANTHONY NICKOLAS II GAVALAS (MD) — NPI 1114544830 — is the standard way to identify this listing.
Does the file indicate DR. ANTHONY NICKOLAS II GAVALAS (MD) is practicing under active NPI?
Directory data currently reports DR. ANTHONY NICKOLAS II GAVALAS (MD) as active.
What is DR. ANTHONY NICKOLAS II GAVALAS (MD)'s specialty?
The listing groups DR. ANTHONY NICKOLAS II GAVALAS (MD) with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does DR. ANTHONY NICKOLAS II GAVALAS (MD) serve?
DR. ANTHONY NICKOLAS II GAVALAS (MD)'s listing highlights Fort Hood, Texas; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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