MR. MAYNARD SHAWN GONTER (PA-C) – Physician Assistant, NPI 1396737391
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
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Provider Addresses for MR. MAYNARD SHAWN GONTER (PA-C)
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752846098
Phone: (903) 324-6400
Type: Mailing
CHRISTUS Mother Frances Hospital - Tyler, 800, East Dawson Street, Tyler, Smith County, Texas, 75701, United States
TYLER, TX 757012036
Phone: (903) 567-4841
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $193.
Total Amount is formed as General ($193) + Research ($0) + Ownership ($0) = $193.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Bioventus LLC ($95).
Total Amount
$193
General + Research + Ownership
Payments
9
Total payment records
General Amount
$193
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-06-14
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 |
|---|---|---|---|---|
| I20040614000216 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | 86 | 54 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 60 | 53 | $0 |
| 73562 | X-ray of knee, 3 views | 30 | 18 | $0 |
| 73502 | X-ray of hip, 2-3 views | 23 | 19 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 16 | 12 | $0 |
Insurance plans in this area (ZIP 75284)
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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 |
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