MARK ROBERT GILLIS (MD) – Anesthesiology Physician, NPI 1154390177
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
565 ANESTHESIOLOGY in UT
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Provider Addresses for MARK ROBERT GILLIS (MD)
3021, Corral Drive, Tanglewood, Layton, Davis County, Utah, 84040, United States
LAYTON, UT 840407448
Phone: (801) 444-2551
Type: Mailing
Davis Hospital and Medical Center, 1600, West Antelope Drive, Vae View, Layton, Davis County, Utah, 84041, United States
LAYTON, UT 84041
Phone: (801) 807-1000
Type: Location
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: 2016-10-14
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 |
|---|---|---|---|---|
| I20161014001375 | I | Anesthesiology | OR | 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 |
|---|---|---|---|---|
| 76942 | Ultrasonic guidance for needle placement | 14 | 14 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 12 | 12 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 84040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Geriatric Medicine | OR | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| N E U R O L O G Y | OR | |
| Physician Assistant | MI | |
| Cardiovascular Disease (Cardiology) | CA | |
| Cardiovascular Disease (Cardiology) | ME | |
| Certified Registered Nurse Anesthetist (Crna) | MD | |
| Cardiovascular Disease (Cardiology) | WA | |
| Certified Registered Nurse Anesthetist (Crna) | MT |
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