DR. GAYLE M KASDORF (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1629071485
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. GAYLE M KASDORF (M.D.)
South Webster Avenue, Astor, Green Bay, Brown County, Wisconsin, 54301, United States of America
STE 500
GREEN BAY, WI 543013528
Phone: (920) 468-9588
Fax: (920) 468-1342
Type: Mailing
Dousman Street, Fort Howard, Green Bay, Brown County, Wisconsin, 54305, United States of America
GREEN BAY, WI 543033211
Phone: (920) 496-4700
Type: Location
704 S Webster Ave
Ste 500
Green Bay, WI 543013528
Phone: (920) 468-9588
Fax: (920) 468-1342
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: 2009-01-09
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 |
|---|---|---|---|---|
| I20090109000575 | I | Endocrinology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 19 | 19 | $0 |
Insurance plans in this area (ZIP 54301)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | WI | |
| Hospitalist, Internal Medicine | MI | |
| - | WI | |
| - | WI | |
| Family Practice, Sports Medicine | WI | |
| - | OH | |
| Physical Therapist In Private Practice | WI | |
| - | WI | |
| - | WI | |
| Internal Medicine, Hospitalist | WI |
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