KELLY G. GWATHMEY (M.D.) – Neurology Physician, NPI 1073716775
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
706 NEUROLOGY in VA
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Provider Addresses for KELLY G. GWATHMEY (M.D.)
Richmond Drive, Middletown, New Castle County, Delaware, United States
RICHMOND, VA 232911734
Phone: (804) 358-6100
Fax: (804) 342-7619
Type: Mailing
VCU Health: Neuroscience, Orthopaedic and Wellness Center, 11958, West Broad Street, Richmond, Henrico County, Virginia, 23233, United States
HENRICO, VA 232331007
Phone: (804) 828-9350
Fax: (804) 827-1744
Type: Location
1250 E Marshall St
Richmond, VA 232985051
Phone: (804) 828-9350
Fax: (804) 827-1744
Type: Location
417 N 11th St
Richmond, VA 232985002
Phone: (804) 828-9350
Fax: (804) 827-1744
Type: Location
710 W 168TH ST
NEW YORK, NY 100323726
Phone: (212) 305-6788
Fax: (212) 305-1504
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $22,398.
Total Amount is formed as General ($22,398) + Research ($0) + Ownership ($0) = $22,398.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($14,120).
Total Amount
$22,398
General + Research + Ownership
Payments
32
Total payment records
General Amount
$22,398
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alexion Pharmaceuticals, Inc. | $14,120 |
| ARGENX US, INC. | $4,317 |
| Amgen Inc. | $2,200 |
| UCB, Inc. | $1,429 |
| Biogen, Inc. | $151 |
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: 2026-01-31
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 |
|---|---|---|---|---|
| I20130808000434 | I | Neurology | VA | TBD |
| I20260131000807 | I | Neurology | NY | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 142 | 81 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 141 | 110 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 76 | 76 | $0 |
| 95885 | Needle measurement of electrical activity in arm or leg muscles, limited study | 54 | 33 | $0 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 34 | 16 | $0 |
Insurance plans in this area (ZIP 23291)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROLOGY | VA | 95910 | Nerve transmission studies, 7-8 studies | 45 | 45 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| Orthopedic Surgery | VA | |
| O T O L A R Y N G O L O G Y | VA | |
| Diagnostic Radiology | VA | |
| Nurse Practitioner | VA | |
| Qualified Audiologist | VA | |
| Radiation Oncology | VA | |
| O T O L A R Y N G O L O G Y | VA |
Reviews
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