GABRIEL LEWIS PETTY (PA) – Physician Assistant, NPI 1447485214
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,497 PHYSICIAN ASSISTANT in TX
Provider Addresses for GABRIEL LEWIS PETTY (PA)
715 Discovery Blvd Ste 102
Cedar Park, TX 786132294
Phone: (512) 476-2830
Fax: (512) 476-2832
Type: Location
5329 Serene Hills Dr Ste 202
Austin, TX 787381259
Phone: (512) 476-2830
Fax: (512) 476-2832
Type: Location
4611 GUADALUPE ST STE 200
AUSTIN, TX 787512928
Phone: (512) 476-2830
Fax: (512) 476-2832
Type: Mailing
Frost Bank, 5656, Bee Caves Road, West Lake Hills, Travis County, Texas, 78746, United States
K-200
WEST LAKE HILLS, TX 787465280
Phone: (512) 329-6644
Fax: (512) 891-8220
Type: Mailing
4700 SETON CENTER PKWY STE 200
AUSTIN, TX 787594107
Phone: (512) 439-1000
Fax: (512) 439-1085
Type: Mailing
3755 S CAPITAL OF TEXAS HWY STE 160
AUSTIN, TX 787046645
Phone: (512) 439-1000
Fax: (512) 439-1085
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $2,348.
Total Amount is formed as General ($2,348) + Research ($0) + Ownership ($0) = $2,348.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Medtronic, Inc. ($468).
Total Amount
$2,348
General + Research + Ownership
Payments
21
Total payment records
General Amount
$2,348
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $468 |
| Amgen Inc. | $371 |
| Nevro Corp. | $243 |
| SI-BONE, INC. | $148 |
| ZIMVIE INC. | $144 |
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: 2025-05-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20090820000562 | I | Physician Assistant | TX | TBD |
| I20250529001178 | I | Physician Assistant | FL | 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 78613)
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