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Tim B. Gannon, P.A.

NPI 1780992024ActiveIndividual· Physician Assistant, Medical· Santa Fe, NM

Physician Assistant, Medical (P.A.) with Southwest Care Center, practicing in Santa Fe, New Mexico. Part D covered 185 prescriptions written in 2024, 90% of them generic. Lists Christus St Vincent Regional Medical Center as a hospital affiliation.

Overview

NPI1780992024
StatusActive
Entity typeIndividual
CredentialP.A.
Sole proprietorNo
NPI issuedSep 21, 2010
Last updated in NPPESMar 26, 2026
Certified by providerMar 26, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700XPA2010-0058NM

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NM); Practitioner - Physician Assistant (TX)

Part D prescriptions in 2024

Prescriptions (claims)185 · 192 30-day fills
Patients140
Total drug cost$2,726
Generic share90% of claims

Medicare sources and data years

Education and affiliations

Graduation year2010
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant, Medical providers in Santa Fe

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