DR. GARTH GRANT GULICK (MD) – Family Medicine Physician, NPI 1710188032

DR. GARTH GRANT GULICK (MD) is a healthcare provider. based in Ontario, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. M8925 (ID). The NPI Number for DR. GARTH GRANT GULICK (MD) is 1710188032

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARTH GRANT GULICK (MD)
NPI
1710188032
Phone
(541) 881-4834
Address
777 STANTON BLVD
Enumeration Date
31 May 2007
Last Update Date
14 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5413725738
Graduation Year
1989 (37 years ago)
PAC ID
8022332972
Group Practice PAC ID
0547169591
Professional Enrollment ID
I20150123001321
Address ID
OR979133815NY17XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

2,081 FAMILY PRACTICE in OR

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Provider Addresses for DR. GARTH GRANT GULICK (MD)

  • Snake River Correctional Institution, 777, Stanton Boulevard, Ontario, Malheur County, Oregon, 97914, United States

    ONTARIO, OR 979148335

    Phone: (541) 881-4834

    Type: Mailing

  • 1441 NE 10TH AVE

    PAYETTE, ID 836615420

    Phone: (208) 642-9376

    Fax: (208) 642-9279

    Type: Mailing

  • 17 S 3RD ST

    NYSSA, OR 979133815

    Phone: (208) 642-9376

    Fax: (208) 642-9279

    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 $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-03-31 • Largest payer in this snapshot: Gilead Sciences, Inc. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-31

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$13
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: 2025-06-24

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150123001321IFamily PracticeORTBD
I20250624002412IFamily PracticeIDTBD

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
36415Insertion of needle into vein for collection of blood sample1916$0
View full utilization report →

Insurance plans in this area (ZIP 97914)

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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: 0547169591View full group profile
NameSpecialtyState
Physician AssistantID
Nurse PractitionerID
Physician AssistantID
-OR
Emergency Medicine, Family PracticeOR
Family PracticeID
Nurse PractitionerID
-ID
-ID
Physician AssistantTX

Reviews

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Frequently asked questions

What is the registry number for DR. GARTH GRANT GULICK (MD)?
The registry entry for DR. GARTH GRANT GULICK (MD) shows NPI 1710188032.
Quick check: is DR. GARTH GRANT GULICK (MD) active?
Public NPPES data shows DR. GARTH GRANT GULICK (MD) with an active NPI status right now.
How should patients interpret DR. GARTH GRANT GULICK (MD)'s specialty?
The extract shows Family Medicine Physician for DR. GARTH GRANT GULICK (MD). Clinical services aligned with this taxonomy classification.
What city is tied to DR. GARTH GRANT GULICK (MD)?
The directory associates DR. GARTH GRANT GULICK (MD) with Ontario, Oregon. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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