Tim B. Gannon, P.A.
Medical Physician Assistant · Santa Fe, NM
Tim B. Gannon, P.A. is a medical physician assistant with a practice address in Santa Fe, New Mexico, and NPI 1780992024, issued on Sep 21, 2010. Check the license (New Mexico PA2010-0058, as entered in NPPES) with the New Mexico board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Tim B. Gannon
- Credential
- P.A.
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- PA2010-0058 NM
Self-reported in NPPES; status is on the state search - Practice location
- 649 Harkle RD Ste E, Santa Fe, NM 87505
- Phone
- (505) 955-9454
- Enumerated
- Sep 21, 2010
- Record last updated
- Mar 26, 2026
- Fax
- (505) 216-9067
- Medicaid ID
- 25773119 NM
- Medicare enrollment
- Enrolled (PECOS I20230919000119); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 649 Harkle RD Ste E
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Paula Broderick, PHARMDPharmacotherapy Pharmacist1558581009
- Anabel Fernandez, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1013732163
- Hillary Froehlich-Gerke, PMHNPPsychiatric/Mental Health Nurse Practitioner1326437435
- Renee Garnier, LCSWClinical Social Worker1376895334
- Linda Gorgos, MDInternal Medicine Physician1124138540
- Trevor Hawkins, M.D.Specialist1720093677
Verify Tim B. Gannon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New Mexico board licenses this profession
Search for license PA2010-0058Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
84% fewer Medicare Part D claims than the average medical physician assistant in 2024
185 Medicare Part D claims for 140 beneficiaries, against an average of 1,148 among the 23,801 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims.
Most prescribed
- Cephalexin31 claims
- Azithromycin26 claims
- Doxycycline Hyclate19 claims
- Albuterol Sulfate Hfa15 claims
- Paxlovid13 claims
- Amoxicillin-Clavulanate Potass12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Southwest Care CenterSanta Fe, NM
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Medical Physician Assistant providers in New Mexico
There are 274 medical physician assistant records in New Mexico.
Other medical physician assistant records in New Mexico
- Reid Ackerman, P.A-CFarmington, NM1184637407
- Vanessa Acosta, PAAlbuquerque, NM1700482478
- John Adamson, PA-CAlbuquerque, NM1598151359
- Mohammad Al-Raie, P.A.Albuquerque, NM1629345848
- Stephanie Alcaraz-Reza, PAAlbuquerque, NM1609225184
- Paige Allen, PAAlbuquerque, NM1306505425
- Bridget Andrew, PA,MPHSanta Fe, NM1649279266
- Aaron Aquino Ramos, BTAlbuquerque, NM1437742137
- Felicia Aragon, PA-CLos Lunas, NM1033515846
- Mary AraizaAlbuquerque, NM1841236882
Common questions
What is Tim B. Gannon, P.A.'s NPI number?
Tim B. Gannon, P.A.'s National Provider Identifier (NPI) is 1780992024, issued on Sep 21, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Tim B. Gannon, P.A. located?
The NPPES record lists a practice address at 649 Harkle RD Ste E, Santa Fe, NM, 87505. Phone: (505) 955-9454. Providers update this record themselves, so call before visiting.
How can I verify Tim B. Gannon, P.A.'s license?
NPPES lists New Mexico license number PA2010-0058, as entered by the provider. Search the New Mexico board that licenses this profession; the NPPES record confirms identity only.
How much does Tim B. Gannon, P.A. prescribe under Medicare Part D?
In 2024, Tim B. Gannon, P.A. had 185 Medicare Part D claims for 140 beneficiaries; the average among medical physician assistant prescribers was 1,148. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.