PAULA SKYE GARDNER (PA-C) – Physician Assistant, NPI 1699917567

PAULA SKYE GARDNER (PA-C) is a healthcare provider. based in Bend, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 012966-1 (NY). The NPI Number for PAULA SKYE GARDNER (PA-C) is 1699917567

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
PAULA SKYE GARDNER (PA-C)
NPI
1699917567
Phone
(541) 678-0020
Address
388 SW BLUFF DR
Enumeration Date
24 March 2009
Last Update Date
5 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9708714811
Graduation Year
2008 (18 years ago)
PAC ID
6002952397
Group Practice PAC ID
8123115623
Professional Enrollment ID
I20210820000613
Address ID
CO804878853ST940XXDRXX410
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

2,889 PHYSICIAN ASSISTANT in OR

Provider Addresses for PAULA SKYE GARDNER (PA-C)

  • 388 SW BLUFF DR

    BEND, OR 977021360

    Phone: (541) 678-0020

    Fax: (541) 323-2174

    Type: Mailing

  • Northwest Hearing: John Burke, Audiologist, 940, Central Park Drive, Steamboat Springs, Routt County, Colorado, 80487, United States

    STE 210

    STEAMBOAT SPRINGS, CO 80487

    Phone: (970) 871-4811

    Fax: (970) 879-4527

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $829.

Total Amount is formed as General ($829) + Research ($0) + Ownership ($0) = $829.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Lilly USA, LLC ($159).

Total Amount

$829

General + Research + Ownership

Payments

34

Total payment records

General Amount

$829

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2026-01-29

PECOS data refreshed: 2026-06-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210820000613IPhysician AssistantCOTBD
I20260129002920IPhysician AssistantORTBD

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
17003Destruction of precancer skin growth, 2-14 growths767140$0
17000Destruction of precancer skin growth, 1 growth196177$0
99213Established patient office or other outpatient visit, 20-29 minutes169158$0
88305Pathology examination of tissue using a microscope, intermediate complexity8255$0
11102Biopsy of related skin growth, first growth6966$0
View full utilization report →

Insurance plans in this area (ZIP 97702)

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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: 8123115623View full group profile
NameSpecialtyState
Physician AssistantCO
Physician AssistantSD
Physician AssistantIL
Pediatric Medicine, DermatologyCO

Reviews

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Frequently asked questions

What is the 10-digit NPI for PAULA SKYE GARDNER (PA-C)?
PAULA SKYE GARDNER (PA-C) — NPI 1699917567 — is the standard way to identify this listing.
Does CMS list PAULA SKYE GARDNER (PA-C) as active?
Yes — PAULA SKYE GARDNER (PA-C) is active in the NPI listing used on this page.
What healthcare role does PAULA SKYE GARDNER (PA-C) hold?
Scheduling teams often label PAULA SKYE GARDNER (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for PAULA SKYE GARDNER (PA-C)?
PAULA SKYE GARDNER (PA-C)'s geographic hint is Bend, Oregon in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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