Gannon Nyquist, PA-C
NPI 1134793169 · Physician Assistant · Vallejo, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gannon Nyquist, PA-C is a Physician Assistant provider in Vallejo, CA (NPI 1134793169).
Provider details
- NPI number
- 1134793169
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
5 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
498 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 123 | $90 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 123 | $75 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 102 | $104 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 93 | $136 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 31 | $167 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 539 | 113 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 259 | 94 |
| Montelukast Sodium | 170 | 51 |
| Prednisone | 148 | 75 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 115 | 27 |
| Fluticasone Propion/Salmeterolbrand: Fluticasone-Salmeterol | 100 | 38 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$182 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 827 Spring StMedford, OR 97504-6104Phone: (541) 732-7600Fax: (541) 732-7601
Registry dates
- Enumerated
- 2021-05-14
- Last updated
- 2022-09-12
- Certified
- 2022-09-12
Frequently asked questions
- What is Gannon Nyquist's NPI number?
- Gannon Nyquist's National Provider Identifier (NPI) is 1134793169, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gannon Nyquist's specialty?
- Gannon Nyquist is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Gannon Nyquist located?
- Gannon Nyquist's practice location on file with NPPES is 1310 Club Dr, Vallejo, CA 94592-1187.
- What is Gannon Nyquist's phone number?
- The practice phone number listed in the NPPES registry for Gannon Nyquist is (707) 638-5809.
- Does Gannon Nyquist accept Medicare?
- Gannon Nyquist is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gannon Nyquist's NPI active?
- Yes — Gannon Nyquist's NPI (1134793169) is active in the NPPES registry as of the last update on 2022-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.