ANDREW K GAVAGAN MD PC
NPI 1619163748
Surgery - Plastic and Reconstructive Surgery in Troy, MI
About Andrew K Gavagan Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW K GAVAGAN MD PC (NPI 1619163748) is a healthcare organization registered as a plastic and reconstructive surgery in Troy, Michigan and active in the NPI registry since September 2007. The organization lists Andrew Gavagan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrew K Gavagan Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Andrew K Gavagan MD PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Andrew K Gavagan MD PC's NPI number?
The NPI number for Andrew K Gavagan MD PC is 1619163748. It was assigned to this organization in the NPPES registry on September 21, 2007.
Where is Andrew K Gavagan MD PC located?
Andrew K Gavagan MD PC is located at 1080 Kirts Blvd Ste 700, Troy, MI 48084. The listed phone number is (248) 362-2300.
What is Andrew K Gavagan MD PC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Andrew K Gavagan MD PC enrolled in Medicare?
Yes. Andrew K Gavagan MD PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Andrew K Gavagan MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Andrew K Gavagan MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Andrew K Gavagan MD PC was last updated on September 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Andrew K Gavagan Md Pc · NPI 1619163748
Plastic and Reconstructive Surgery organization in Troy, Michigan. Organization record, active in the CMS NPPES registry since September 21, 2007.
## Identity
- **NPI:** 1619163748 (Entity type: Organization)
- **Enumerated:** September 21, 2007
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **Organization subpart:** No
- **Authorized official:** Andrew Gavagan, OWNER
## Practice location
- **Address:** 1080 KIRTS BLVD, STE 700, Troy, MI 48084-4881
- **Phone:** (248) 362-2300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Plastic and Reconstructive Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 21, 2007
- **Other identifiers:** Medicare PIN 0M65780 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1619163748) · Data from the CMS NPPES public registry.