DR. GAYLE M KASDORF (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1629071485

DR. GAYLE M KASDORF (M.D.) is a healthcare provider. based in Green bay, Wisconsin. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold the professional credentials M.D.. They hold a License No. 24544 (WI). The NPI Number for DR. GAYLE M KASDORF (M.D.) is 1629071485

Main info

Female
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. GAYLE M KASDORF (M.D.)
NPI
1629071485
Phone
(920) 468-9588
Address
704 S WEBSTER AVE
Enumeration Date
24 May 2005
Last Update Date
5 September 2019

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
9204964700
Graduation Year
1981 (45 years ago)
PAC ID
8729049945
Group Practice PAC ID
5799694675
Professional Enrollment ID
I20090109000575
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090109000575IEndocrinologyWITBD

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
36415Insertion of needle into vein for collection of blood sample1919$0
View full utilization report →

Insurance plans in this area (ZIP 54301)

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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: 5799694675View full group profile
NameSpecialtyState
P O D I A T R YWI
Hospitalist, Internal MedicineMI
-WI
-WI
Family Practice, Sports MedicineWI
-OH
Physical Therapist In Private PracticeWI
-WI
-WI
Internal Medicine, HospitalistWI

Reviews

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Frequently asked questions

How do payers reference DR. GAYLE M KASDORF (M.D.)?
For DR. GAYLE M KASDORF (M.D.), use NPI 1629071485 as the unique 10-digit identifier.
Is DR. GAYLE M KASDORF (M.D.) shown as active in public data?
Registry records indicate DR. GAYLE M KASDORF (M.D.) maintains an active NPI.
What area of care is associated with DR. GAYLE M KASDORF (M.D.)?
DR. GAYLE M KASDORF (M.D.)'s record emphasizes Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. GAYLE M KASDORF (M.D.)?
Travel planning: use Green Bay, Wisconsin as the reference point for DR. GAYLE M KASDORF (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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