MR. GREGORY M CAVANAUGH (PA-C) – Physician Assistant, NPI 1124084462
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
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Provider Addresses for MR. GREGORY M CAVANAUGH (PA-C)
Aurora Health Center, 4131, West Loomis Road, Southgate Manor, Greenfield, Milwaukee County, Wisconsin, 53221, United States
STE 300
GREENFIELD, WI 532212059
Phone: (414) 325-7246
Fax: (414) 325-3770
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)
CMS reports 53 Open Payments records for all available years, with a total value of $6,237.
Total Amount is formed as General ($6,237) + Research ($0) + Ownership ($0) = $6,237.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: PAINTEQ LLC ($5,625).
Total Amount
$6,237
General + Research + Ownership
Payments
53
Total payment records
General Amount
$6,237
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PAINTEQ LLC | $5,625 |
| Nevro Corp. | $193 |
| Electronic Waveform Lab, Inc. | $166 |
| Janssen Pharmaceuticals, Inc | $123 |
| PFIZER INC. | $36 |
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: 2004-06-07
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 |
|---|---|---|---|---|
| I20040607000418 | I | Physician Assistant | WI | 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 53221)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Family Practice | CA | |
| Internal Medicine | WI | |
| - | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| Nurse Practitioner | WI |
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