DR. ANDREW GARRY SOUTHARD (M.D.) – Emergency Medicine Physician, NPI 1154527547
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
824 EMERGENCY MEDICINE in OR
Provider Addresses for DR. ANDREW GARRY SOUTHARD (M.D.)
3325 Pocahontas Rd
Baker City, OR 978141464
Phone: (541) 523-1797
Fax: (541) 523-1799
Type: Location
East Copper Point Drive, Meridian, Ada County, Idaho, 83642, United States
SUITE 150
MERIDIAN, ID 836429055
Phone: (208) 322-1730
Fax: (208) 322-1731
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-09-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110817000522 | I | Emergency Medicine | ID | TBD |
| I20170922002781 | I | Emergency Medicine | OR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 60 | 60 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 47 | 44 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 26 | 25 | $0 |
| 99291 | Critical care, first 30-74 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 97814)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | ID | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 78 | 75 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MI | |
| Physician Assistant | MI | |
| Emergency Medicine | WI | |
| Emergency Medicine | NH | |
| Family Practice, Emergency Medicine | NC | |
| Physician Assistant | OR | |
| Emergency Medicine | IL | |
| Emergency Medicine | IN | |
| Emergency Medicine | TN | |
| - | OR |
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