KIRK F GAUTIER (PAC) – Physician Assistant, NPI 1821027798
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Loading map...
Provider Addresses for KIRK F GAUTIER (PAC)
1367, Dominion Plaza, Tyler, Smith County, Texas, 75703, United States
TYLER, TX 757031013
Phone:
Type: Mailing
805, South Palestine Street, Athens, Henderson County, Texas, 75751, United States
ATHENS, TX 757513427
Phone: (903) 534-6200
Fax: (903) 939-0755
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 593 Open Payments records for all available years, with a total value of $200,110.
Total Amount is formed as General ($200,110) + Research ($0) + Ownership ($0) = $200,110.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: ABBVIE INC. ($87,535).
Total Amount
$200,110
General + Research + Ownership
Payments
593
Total payment records
General Amount
$200,110
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $87,535 |
| E.R. Squibb & Sons, L.L.C. | $43,941 |
| Lilly USA, LLC | $40,281 |
| Arcutis Biotherapeutics, Inc. | $16,395 |
| Eli Lilly and Company | $1,500 |
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: 2004-06-15
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 |
|---|---|---|---|---|
| I20040615000684 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,706 | 526 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,953 | 1,461 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 917 | 737 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 561 | 503 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 555 | 513 | $0 |
Insurance plans in this area (ZIP 75703)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | KY | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.