GARY L BOOG (PA-C) – Medical Physician Assistant, NPI 1710051255

GARY L BOOG (PA-C) is a healthcare provider. based in Aberdeen, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA60037894 (WA). The NPI Number for GARY L BOOG (PA-C) is 1710051255

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
GARY L BOOG (PA-C)
NPI
1710051255
Phone
(360) 532-8830
Address
915 ANDERSON DR
Enumeration Date
17 November 2006
Last Update Date
17 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3605328330
Graduation Year
2006 (20 years ago)
PAC ID
8729171723
Group Practice PAC ID
3577462365
Professional Enrollment ID
I20090126000684
Address ID
WA985201006AB915XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for GARY L BOOG (PA-C)

  • Grays Harbor Community Hospital, 915, Anderson Drive, Aberdeen, Grays Harbor County, Washington, 98520, United States

    ABERDEEN, WA 985201006

    Phone: (360) 532-8830

    Mailing address matches the actual address.

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: 2009-01-26

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090126000684IPhysician AssistantWATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes352153$0
99238Hospital discharge day management, 30 minutes or less125121$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes113108$0
View full utilization report →

Insurance plans in this area (ZIP 98520)

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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: 3577462365View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Physician AssistantWA
Physician AssistantWA
Physical Therapist In Private PracticeWA
Diagnostic RadiologyWA
-WA
Family PracticeWA
-WA
-WA
O B S T E T R I C S/ G Y N E C O L O G YWA

Reviews

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Frequently asked questions

Is there an official ID for GARY L BOOG (PA-C) in U.S. healthcare records?
The official identifier for GARY L BOOG (PA-C) is NPI 1710051255.
Is GARY L BOOG (PA-C) still an active registrant?
GARY L BOOG (PA-C) carries an active NPI according to the public dataset.
How would a patient describe GARY L BOOG (PA-C)'s focus?
For GARY L BOOG (PA-C), the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is GARY L BOOG (PA-C) associated with Aberdeen?
Public fields place GARY L BOOG (PA-C) around Aberdeen, Washington. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for GARY L BOOG (PA-C) is noted as November 17, 2006 where the registry provides it.

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