MICHAEL PHILIP GAVIN MD NPI 1669442620

NPI Information

  • NPI: 1669442620
  • Provider Name: MICHAEL PHILIP GAVIN, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 141 HOSPITAL DR
    SALEM, KY
    ZIP 42078
  • Phone: (270) 988-3298

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NPI Details

Michael Philip Gavin, MD is a general practice in Salem, KY with 50 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Michael Philip Gavin, MD NPI is 1669442620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:1976

The provider's business location address is:

141 HOSPITAL DR
SALEM, KY
ZIP 42078-043
Phone: (270) 988-3298
Fax: (270) 988-4642

The NPI 1669442620 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Hemoglobin a1c level (HCPCS:83036)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Urinalysis, manual test (HCPCS:81002)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)

The enumeration date for this NPI number is 1/24/2006 and was last updated on 3/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery21359KENTUCKYNo
2208D00000XGeneral Practice21359KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C74353MEDICARE UPINKENTUCKY
20627202MEDICARE PINKENTUCKY
3K011240MEDICARE PINKENTUCKY
464213598MEDICAIDKENTUCKY
5020044988MEDICARE PINKENTUCKY
60627301MEDICARE PINKENTUCKY
70627402MEDICARE PINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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