DR. GARY J MILLWARD (DPM) – Podiatrist, NPI 1063462075

DR. GARY J MILLWARD (DPM) is a healthcare provider. based in Boise, Idaho. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. P145 (ID). The NPI Number for DR. GARY J MILLWARD (DPM) is 1063462075

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARY J MILLWARD (DPM)
NPI
1063462075
Phone
(208) 381-2222
Address
190 E BANNOCK
Enumeration Date
11 May 2006
Last Update Date
4 February 2014

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
4486718905
Group Practice PAC ID
4981878402
Professional Enrollment ID
I20111215000755
Address ID
ID836426351ME520XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

72 PODIATRY in ID

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Provider Addresses for DR. GARY J MILLWARD (DPM)

  • Idaho City, Boise County, Idaho, 83631, United States

    BOISE, ID 837126241

    Phone: (208) 381-2222

    Type: Mailing

  • 6051, North Eagle Road, Boise, Ada County, Idaho, 83713, United States

    BOISE, ID 837130997

    Phone: (208) 938-4670

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $533.

Total Amount is formed as General ($533) + Research ($0) + Ownership ($0) = $533.

Last reported payment date: 2024-12-22 • Largest payer in this snapshot: OSSIO INC ($250).

Total Amount

$533

General + Research + Ownership

Payments

6

Total payment records

General Amount

$533

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-12-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111215000755IPodiatryIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes12692$0
99203New patient office or other outpatient visit, 30-44 minutes117117$0
28285Correction of toe joint deformity4715$0
View full utilization report →

Insurance plans in this area (ZIP 83712)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981878402View full group profile
NameSpecialtyState
Family PracticeME
Internal MedicineID
Family PracticeID
-TX
-OR
Hand SurgeryID
-ID
Nurse PractitionerID
Physician AssistantID
General SurgeryID

Reviews

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Frequently asked questions

What unique ID ties claims to DR. GARY J MILLWARD (DPM)?
NPI 1063462075 is assigned to DR. GARY J MILLWARD (DPM) under the national enumeration system.
Is DR. GARY J MILLWARD (DPM) active in the national directory?
DR. GARY J MILLWARD (DPM)'s public NPI profile is in an active state.
What field does DR. GARY J MILLWARD (DPM) work in?
You can think of DR. GARY J MILLWARD (DPM) as practicing within Podiatrist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. GARY J MILLWARD (DPM)?
The snapshot lists Boise, Idaho for DR. GARY J MILLWARD (DPM); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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