DMITRI ANDREYEVICH GAGARIN (MD) – Hospitalist Physician, NPI 1114109089

DMITRI ANDREYEVICH GAGARIN (MD) is a healthcare provider. based in Abingdon, Virginia. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 35.096436 (OH). The NPI Number for DMITRI ANDREYEVICH GAGARIN (MD) is 1114109089

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DMITRI ANDREYEVICH GAGARIN (MD)
NPI
1114109089
Phone
(276) 258-1000
Address
16000 JOHNSTON MEMORIAL DR FL 4
Enumeration Date
3 December 2007
Last Update Date
26 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6067433186
Graduation Year
1996 (30 years ago)
PAC ID
6608058672
Group Practice PAC ID
4385035534
Professional Enrollment ID
I20251112000558
Address ID
KY414722049WE476XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness85
Years active:18State licenses:3Digital endpointsOther names

1,234 HOSPITALIST in VA

Provider Addresses for DMITRI ANDREYEVICH GAGARIN (MD)

  • 16000 JOHNSTON MEMORIAL DR FL 4

    ABINGDON, VA 242117664

    Phone: (276) 258-1000

    Type: Location

  • 30, East Apple Street, South Park Historic District, Dayton, Montgomery County, Ohio, 45409, United States

    STE 6250

    DAYTON, OH 454092939

    Phone: (937) 208-8394

    Fax: (937) 208-8388

    Type: Mailing

  • 7734 ASTERELLA CT

    SPRINGFIELD, VA 221523141

    Phone: (202) 415-9039

    Fax: (888) 435-7279

    Type: Mailing

  • 1275 N High St

    Hillsboro, OH 451338273

    Phone: (937) 393-6100

    Fax: (614) 293-2809

    Type: Location

  • 7831 Belle Point Dr

    Greenbelt, MD 207703338

    Phone: (301) 902-0664

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-03-30 • Largest payer in this snapshot: PFIZER INC. ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$28
View all Open Payments →|Open Payments Risk Radar →

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: 2025-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 8 Medicare enrollment records; no due dates published yet.

Enrollment records

8

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110311000596IHospitalistOHTBD
I20111010000393IInternal MedicineVATBD
I20160923001446IInternal MedicineDCTBD
I20230223000391IHospice/Palliative CareDCTBD
I20230816001720IHospice/Palliative CareILTBD
I20241029001645IInternal MedicineALTBD
I20251112000558IInternal MedicineKYTBD
I20251118001831IHospitalistNYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes293282$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes104103$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1914$0
View full utilization report →

Insurance plans in this area (ZIP 24211)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385035534View full group profile
NameSpecialtyState
Emergency MedicineKY
Pediatric Medicine, Emergency Medicine, Internal Medicine, Internal MedicineKY
Emergency MedicineOH
Internal Medicine, Emergency MedicineWV
Nurse PractitionerKY
Physician AssistantLA
Nurse PractitionerKY
Nurse PractitionerKY
Internal Medicine, Emergency MedicineKY
Emergency MedicineKY

Reviews

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Frequently asked questions

Can I use this page to confirm DMITRI ANDREYEVICH GAGARIN (MD)'s NPI?
Yes. DMITRI ANDREYEVICH GAGARIN (MD) is listed with NPI 1114109089 in the public NPI dataset.
Is DMITRI ANDREYEVICH GAGARIN (MD) listed as active for patients and plans?
The listing shows DMITRI ANDREYEVICH GAGARIN (MD) as active in the NPI system.
What is DMITRI ANDREYEVICH GAGARIN (MD)'s specialty?
The listing groups DMITRI ANDREYEVICH GAGARIN (MD) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What area does DMITRI ANDREYEVICH GAGARIN (MD) serve?
DMITRI ANDREYEVICH GAGARIN (MD)'s listing highlights Abingdon, Virginia; more addresses can appear in NPPES.
Is the information about DMITRI ANDREYEVICH GAGARIN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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