GORDON K. II AHLERS (MD) – Family Medicine Physician, NPI 1669490348
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GORDON K. II AHLERS (MD)
749, Keystone Park Drive, Morrisville, Durham County, North Carolina, 27560, United States
MORRISVILLE, VT 056610749
Phone: (802) 888-5639
Fax: (802) 888-6040
Type: Mailing
516 East Nizhoni Blvd.
Gallup, NM 873011337
Phone: (505) 722-1000
Fax: (505) 726-8740
Type: Location
38883 Hwy 299
Willow Creek, CA 955730726
Phone: (503) 629-1941
Fax: (503) 629-3122
Type: Location
609, Washington Highway, Morrisville, Morristown, Lamoille County, Vermont, 05661, United States
MORRISVILLE, VT 056618652
Phone: (802) 888-5639
Fax: (802) 888-6040
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: 2017-12-15
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20171215001902 | I | Family Practice | CA | 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 05661)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VT | |
| Clinical Social Worker | VT | |
| Family Practice | VT | |
| Family Practice, Obstetrics/Gynecology | VT | |
| Family Practice | VT | |
| Nurse Practitioner | VT | |
| Physician Assistant | VT | |
| Pediatric Medicine | MA | |
| Family Practice | VT | |
| - | VT |
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