DR. GARY IAN MOLK (D.O.) – Orthopaedic Surgery Physician, NPI 1629233895

DR. GARY IAN MOLK (D.O.) is a healthcare provider. based in Vancouver, Washington. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials D.O.. They hold a License No. 8512A (WY). The NPI Number for DR. GARY IAN MOLK (D.O.) is 1629233895

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARY IAN MOLK (D.O.)
NPI
1629233895
Phone
(360) 729-1462
Address
1115 SE 164TH AVE DEPT 358
Enumeration Date
27 July 2008
Last Update Date
25 March 2024

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Secondary Phone
9074593500
Graduation Year
2004 (22 years ago)
PAC ID
1557553310
Group Practice PAC ID
5698056901
Professional Enrollment ID
I20160816001944
Address ID
AK997015937FA1919XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

87 ORTHOPEDIC SURGERY in AK

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Provider Addresses for DR. GARY IAN MOLK (D.O.)

  • 1115 SE 164TH AVE DEPT 358

    VANCOUVER, WA 986838004

    Phone: (360) 729-1462

    Fax: (360) 729-3104

    Type: Mailing

  • Peace Health Ketchikan Medical Ceneter, 3100, Tongass Avenue, Ketchikan, Ketchikan Gateway, Alaska, 99901, United States

    KETCHIKAN, AK 99901

    Phone: (907) 228-8111

    Fax: (907) 228-8323

    Type: Location

  • PO BOX 16243

    TWO RIVERS, AK 997160243

    Phone: (907) 987-4390

    Type: Mailing

  • 1919 LATHROP ST STE 105

    FAIRBANKS, AK 997015937

    Phone: (907) 459-3545

    Fax: (907) 328-0474

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $1,288.

Total Amount is formed as General ($1,288) + Research ($0) + Ownership ($0) = $1,288.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($568).

Total Amount

$1,288

General + Research + Ownership

Payments

19

Total payment records

General Amount

$1,288

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2016-08-16

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
I20160816001944IOrthopedic SurgeryAKTBD

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
J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg1,95124$0
99213Established patient office or other outpatient visit, 20-29 minutes220147$0
20610Aspiration and/or injection of fluid from large joint14665$0
73562X-ray of knee, 3 views10164$0
73502X-ray of hip, 2-3 views8252$0
View full utilization report →

Insurance plans in this area (ZIP 98683)

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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: 5698056901View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)AK
A N E S T H E S I O L O G YMD
P S Y C H I A T R YWA
H O S P I T A L I S TCA
Emergency MedicineAK
U R O L O G YAK
Certified Registered Nurse Anesthetist (Crna)ID
Family PracticeAK
-AK

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Frequently asked questions

What federal number belongs to DR. GARY IAN MOLK (D.O.)?
The federal identifier for DR. GARY IAN MOLK (D.O.) is NPI 1629233895.
Is DR. GARY IAN MOLK (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. GARY IAN MOLK (D.O.) treat or focus on?
Patients typically see DR. GARY IAN MOLK (D.O.) under the specialty Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. GARY IAN MOLK (D.O.)?
The page summarizes Vancouver, Washington for DR. GARY IAN MOLK (D.O.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.