GARY LEE JR. ALDRICH (PA-C) – Physician Assistant, NPI 1629474978
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,649 PHYSICIAN ASSISTANT in IA
Provider Addresses for GARY LEE JR. ALDRICH (PA-C)
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (319) 294-4298
Type: Mailing
202 10TH ST SE STE 270
CEDAR RAPIDS, IA 524032420
Phone: (319) 294-4319
Fax: (319) 294-4298
Type: Location
103A MCALPINE LN
LAURINBURG, NC 283524637
Phone: (910) 277-7546
Fax: (910) 277-0048
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 220 Open Payments records for all available years, with a total value of $4,371.
Total Amount is formed as General ($4,371) + Research ($0) + Ownership ($0) = $4,371.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($816).
Total Amount
$4,371
General + Research + Ownership
Payments
220
Total payment records
General Amount
$4,371
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $816 |
| E.R. Squibb & Sons, L.L.C. | $334 |
| Sun Pharmaceutical Industries Inc. | $333 |
| GENZYME CORPORATION | $306 |
| Janssen Biotech, Inc. | $265 |
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: 2025-10-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20150114001194 | I | Physician Assistant | NC | TBD |
| I20251030000329 | I | Physician Assistant | IA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 785 | 150 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 420 | 358 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 284 | 237 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 117 | 117 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 75 | 73 | $0 |
Insurance plans in this area (ZIP 54220)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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