GARY M DUTKA PA-C
NPI 1902871445
Physician Assistant - Medical in Saint Marys, GA

Q: What is Gary Dutka's NPI number?

The NPI number for Gary Dutka is 1902871445. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Q: What is Gary Dutka's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Gary Dutka was last updated on August 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since February 20, 2006PECOS EnrolledAccepts Medicare Assignment

2000 DAN PROCTOR DR, SAINT MARYS, GA 31558(912) 466-7000(919) 477-5470 Get Directions Write a Review

NPPES record last updated: August 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gary M Dutka Pa-c NPPES

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

GARY M DUTKA PA-C (NPI 1902871445) is an individual medical provider in Saint Marys, Georgia, licensed in Georgia (004291) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Southeast Georgia Health System- Brunswick Campus, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1902871445

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameGARY M DUTKACredential: PA-C

Location Address2000 DAN PROCTOR DRSaint Marys, GA 31558-3810

Mailing AddressPo Box 15385Durham, NC 27704-0385 · (919) 477-5152 · Fax (919) 477-5474

Phone(912) 466-7000

Fax(919) 477-5470

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateFebruary 20, 2006

Last NPPES UpdateAugust 6, 2008

✔ NPI 1902871445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 004291

2000 DAN PROCTOR DR, Saint Marys, GA 31558

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Other Identifiers 8

Medicaid256737965AGA

Medicaid256737965DGA

Medicare PINP00458581GA

Other01157750GA · Amerigroup

Medicare ID-Type Unspecified97WCFRQGA

Medicare UPINQ21320GA

Medicare PIN511I970135GA

Medicaid256737965CGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gary M Dutka Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991779795

PECOS Enrollment IDI20040825001217

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

1,003 services97 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

484 services404 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

204 services93 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

187 services134 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

160 services40 patients

2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002

This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.

149 services135 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

120 services28 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

119 services119 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

90 services82 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

67 services65 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

32 services32 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

27 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

15 services15 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southeast Georgia Health System- Brunswick Campus

Acute Care Hospitals · Brunswick, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110025

Location2415 Parkwood DriveBrunswick, GA 31520 · Glynn County

Emergency services

Leave this field empty

Other Providers at the Same Location NPPES 20

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

FIRST COAST EMERGENCY SERVICES

Specialist

2000 DAN PROCTOR DR
SAINT MARYS, GA 31558

Camden County (800) 878-3976

JORDAN O'BANION CAGLAYAN AA

Anesthesiologist Assistant

2000 DAN PROCTOR DR
SAINT MARYS, GA 31558

Camden County (912) 576-6140

SOUTHEAST GEORGIA HEALTH SYSTEM, INC.

General Acute Care Hospital

2000 DAN PROCTOR DR
SAINT MARYS, GA 31558

Camden County (912) 576-6200

JOHN-HENRY LIPIAN AA

Anesthesiologist Assistant

2000 DAN PROCTOR DR
SAINT MARYS, GA 31558

Camden County (912) 567-6200

JOSHUA SMITH CRNA

Nurse Anesthetist, Certified Registered

2000 DAN PROCTOR DR
SAINT MARYS, GA 31558

Camden County (912) 576-6140

PRODOCS LLC

Radiology (Diagnostic Radiology)

2000 DAN PROCTOR DR
SAINT MARYS, GA 31558

Camden County (800) 841-4236

MS. BETH LOWRY WICKER P.T.

Physical Therapist

2000 DAN PROCTOR DR, SUITE 180
SAINT MARYS, GA 31558

Camden County (912) 576-6450

ERIN E BOROWSKI AA

Anesthesiologist Assistant

2000 DAN PROCTOR DR
SAINT MARYS, GA 31558

Camden County (912) 567-6200

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 Gary Dutka's NPI number?

The NPI number for Gary Dutka is 1902871445. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Gary Dutka located?

Gary Dutka practices at 2000 Dan Proctor Dr, Saint Marys, GA 31558. The listed phone number is (912) 466-7000.

What is Gary Dutka's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Gary Dutka enrolled in Medicare?

Yes. Gary Dutka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Gary Dutka affiliated with any hospitals?

According to CMS data, Gary Dutka is affiliated with Southeast Georgia Health System- Brunswick Campus.

When was this NPI record last updated?

The NPPES record for Gary Dutka was last updated on August 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.