PHILLIP A GARDNER (MD) – Otolaryngology Physician, NPI 1003843897

PHILLIP A GARDNER (MD) is a healthcare provider. based in Missoula, Montana. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 8225 (MT). The NPI Number for PHILLIP A GARDNER (MD) is 1003843897

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP A GARDNER (MD)
NPI
1003843897
Phone
(406) 541-3277
Address
700 WESY KENT
Enumeration Date
27 June 2006
Last Update Date
28 August 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4065413937
Graduation Year
1991 (35 years ago)
PAC ID
1850356569
Group Practice PAC ID
3678472099
Professional Enrollment ID
I20041122001102
Address ID
MT598016772MI700XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

43 OTOLARYNGOLOGY in MT

Provider Addresses for PHILLIP A GARDNER (MD)

  • 700 WESY KENT

    MISSOULA, MT 598014008

    Phone: (406) 541-3277

    Fax: (406) 541-3950

    Type: Location

  • 2760 Elizabeth Warren Ave Ste B

    Butte, MT 597013979

    Phone: (406) 792-1250

    Fax: (406) 541-3811

    Type: Location

  • 120 S 5th St Ste 104

    Hamilton, MT 598402798

    Phone: (406) 363-3366

    Fax: (406) 541-3811

    Type: Location

  • PO BOX 4907

    MISSOULA, MT 598064907

    Phone: (406) 541-3277

    Fax: (406) 541-3950

    Type: Mailing

  • 700 W KENT AVE

    MISSOULA, MT 598016772

    Phone: (406) 541-3277

    Fax: (406) 541-3811

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2023-04-25 • Largest payer in this snapshot: Acclarent, Inc ($51).

Total Amount

$51

General + Research + Ownership

Payments

1

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Acclarent, Inc$51
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: 2004-11-22

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
I20041122001102IOtolaryngologyMTTBD

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 minutes11198$0
99203New patient office or other outpatient visit, 30-44 minutes6464$0
69210Removal of impacted ear wax6057$0
31575Diagnostic exam of voice box using a flexible endoscope3836$0
70486Ct scan of face without contrast3838$0
View full utilization report →

Insurance plans in this area (ZIP 59801)

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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: 3678472099View full group profile
NameSpecialtyState
Qualified Speech Language PathologistMT
-MT
Qualified AudiologistMT
O T O L A R Y N G O L O G YMT
Qualified AudiologistMT
Qualified AudiologistMT
Qualified Speech Language PathologistMT
Qualified AudiologistCO
-MT
Qualified AudiologistID

Reviews

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Frequently asked questions

What federal number belongs to PHILLIP A GARDNER (MD)?
The federal identifier for PHILLIP A GARDNER (MD) is NPI 1003843897.
Does this profile mean PHILLIP A GARDNER (MD) is currently active?
Yes — PHILLIP A GARDNER (MD) appears active in the national provider directory.
What field does PHILLIP A GARDNER (MD) work in?
You can think of PHILLIP A GARDNER (MD) as practicing within Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What location shows for PHILLIP A GARDNER (MD)?
We surface Missoula, Montana for PHILLIP A GARDNER (MD) based on available NPPES addresses.
Is PHILLIP A GARDNER (MD) a real provider?
This page reflects official NPPES data for NPI 1003843897. Always confirm identity and privileges with the practice and licensing boards.

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