MR. TOM DENNIS GATES II CRNP-PMH
NPI 1073947032
Nurse Practitioner - Psychiatric/Mental Health in Largo, MD

Active since August 27, 2013Opted out of Medicare · through Oct 1, 2027
1300 MERCANTILE LN STE 198, LARGO, MD 20774(301) 955-9812(301) 955-9813 Get Directions Write a Review

NPPES record last updated: September 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2023, Jul 21, 2022, Dec 20, 2016 (3 updates tracked since 2016).

About Mr. Tom Dennis Gates Ii Crnp-pmh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TOM DENNIS GATES II CRNP-PMH (NPI 1073947032) is an individual psychiatric/mental health provider in Largo, Maryland, licensed in Maryland (R207808) and active in the NPI registry since August 2013. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1073947032
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. TOM DENNIS GATES IICredential: CRNP-PMH
Location Address1300 MERCANTILE LN STE 198Largo, MD 20774-5339
Mailing Address1300 Mercantile Ln Ste 198Largo, MD 20774-5339 · (301) 955-9812 · Fax (301) 955-9813
Fax(301) 955-9813
Sole ProprietorYes
Enumeration DateAugust 27, 2013
Last NPPES UpdateSeptember 27, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2025
NPI 1073947032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MD · R207808
1300 MERCANTILE LN STE 198, Largo, MD 20774

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mr. Tom Dennis Gates Ii Crnp-pmh has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2019 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2019
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20774 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Prescribing (Medical))
1300 MERCANTILE LN STE 198
LARGO, MD 20774
Clinic/Center (Rehabilitation)
1300 MERCANTILE LN STE 198
LARGO, MD 20774
Social Worker
1300 MERCANTILE LN STE 198
LARGO, MD 20774
Counselor (Professional)
1300 MERCANTILE LN STE 198
LARGO, MD 20774
Counselor (Mental Health)
1300 MERCANTILE LN STE 198
LARGO, MD 20774
Community/Behavioral Health
1300 MERCANTILE LN STE 198
LARGO, MD 20774
Social Worker (Clinical)
1300 MERCANTILE LN STE 198
UPPER MARLBORO, MD 20774
Behavior Technician
1300 MERCANTILE LN STE 198
LARGO, MD 20774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tom Gates's NPI number?

The NPI number for Tom Gates is 1073947032. It was assigned to this individual provider in the NPPES registry on August 27, 2013.

Where is Tom Gates located?

Tom Gates practices at 1300 Mercantile Ln Ste 198, Largo, MD 20774. The listed phone number is (301) 955-9812.

What is Tom Gates's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tom Gates enrolled in Medicare?

No. Tom Gates has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Tom Gates was last updated on September 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.