PHILIP GARDNER (MD) – Otolaryngology Physician, NPI 1265827356

PHILIP GARDNER (MD) is a healthcare provider. based in Coeur d alene, Idaho. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. M-14854 (ID). The NPI Number for PHILIP GARDNER (MD) is 1265827356

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP GARDNER (MD)
NPI
1265827356
Phone
(208) 215-2284
Address
2288 N Merritt Creek Loop Ste 100
Enumeration Date
6 April 2015
Last Update Date
6 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
2082152284
Graduation Year
2015 (11 years ago)
PAC ID
0244529857
Group Practice PAC ID
5597796755
Professional Enrollment ID
I20200603001147
Address ID
ID838144959CO2288XLOOP501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

49 OTOLARYNGOLOGY in ID

Provider Addresses for PHILIP GARDNER (MD)

  • 2288 N Merritt Creek Loop Ste 100

    Coeur D Alene, ID 838144992

    Phone: (208) 215-2284

    Fax: (208) 215-2283

    Type: Location

  • 7703 FLOYD CURL DR

    SAN ANTONIO, TX 782293901

    Phone: (208) 660-0785

    Type: Location

  • 2288 N MERRITT CREEK LOOP STE 100

    COEUR D ALENE, ID 838144992

    Phone: (208) 777-1320

    Type: Mailing

  • 849 N SYRINGA ST

    POST FALLS, ID 838548794

    Phone: (208) 777-1320

    Fax: (208) 777-1322

    Type: Mailing

  • 323 N SPOKANE ST UNIT 100

    POST FALLS, ID 838545153

    Phone: (208) 777-1320

    Fax: (208) 777-1322

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-02-24 • Largest payer in this snapshot: AERIN MEDICAL INC. ($50).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
AERIN MEDICAL INC.$50
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: 2020-06-03

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
I20200603001147IOtolaryngologyIDTBD

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
95024Test for allergy using allergenic extract injected into skin31635$0
95117Professional service for multiple injections of allergen28841$0
99214Established patient office or other outpatient visit, 30-39 minutes230160$0
99213Established patient office or other outpatient visit, 20-29 minutes157123$0
99204New patient office or other outpatient visit, 45-59 minutes141141$0
View full utilization report →

Insurance plans in this area (ZIP 83814)

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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: 5597796755View full group profile
NameSpecialtyState
Qualified AudiologistID
-ID
Qualified AudiologistID
O T O L A R Y N G O L O G YID
O T O L A R Y N G O L O G YID
Qualified AudiologistID
-VT
O T O L A R Y N G O L O G YID

Reviews

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Frequently asked questions

What is the standard ID for PHILIP GARDNER (MD) in the U.S.?
In the U.S., PHILIP GARDNER (MD) is identified by NPI 1265827356.
Is PHILIP GARDNER (MD) currently accepting referrals based on NPI status?
Registry metadata lists PHILIP GARDNER (MD) as active.
How should patients interpret PHILIP GARDNER (MD)'s specialty?
The extract shows Otolaryngology Physician for PHILIP GARDNER (MD). Clinical services aligned with this taxonomy classification.
Can patients visit PHILIP GARDNER (MD) in Coeur D Alene, Idaho?
For routing, start with Coeur D Alene, Idaho for PHILIP GARDNER (MD), then verify phone and hours locally.
Who maintains PHILIP GARDNER (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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