GANNON BRADLEY MARSH (FNP) – Family Nurse Practitioner, NPI 1356706907
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for GANNON BRADLEY MARSH (FNP)
115 MEDICAL CIR STE 100
ATHENS, TX 757519004
Phone: (903) 676-1144
Type: Mailing
2044 CR SE 3470
WINNSBORO, TX 75494
Phone: (903) 365-2432
Type: Mailing
115 MEDICAL CIR STE 102
ATHENS, TX 757519004
Phone: (903) 676-5880
Fax: (903) 676-5889
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $155.
Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.
Last reported payment date: 2023-10-25 • Largest payer in this snapshot: Next Science LLC ($98).
Total Amount
$155
General + Research + Ownership
Payments
7
Total payment records
General Amount
$155
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Next Science LLC | $98 |
| Smith+Nephew, Inc. | $30 |
| Urgo Medical North America, LLC | $14 |
| KCI USA, Inc. | $13 |
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: 2016-04-15
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 |
|---|---|---|---|---|
| I20160415000695 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 159 | 46 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 69 | 27 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 62 | 22 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 30 | 15 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 19 | 17 | $0 |
Insurance plans in this area (ZIP 75751)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Critical Care (Intensivists), Pulmonary Disease | TX | |
| Orthopedic Surgery | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Internal Medicine | TX | |
| - | TX | |
| Physician Assistant | TX |
Reviews
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