MR. MARK GARDNER (PA-C) – Physician Assistant, NPI 1891797247
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for MR. MARK GARDNER (PA-C)
812, Miller Avenue, Sunnyside, Yakima County, Washington, 98944, United States
SUITE C
SUNNYSIDE, WA 989442374
Phone: (509) 837-7551
Type: Mailing
2201 E EDISON RD
SUNNYSIDE, WA 989449214
Phone: (509) 837-3090
Type: Location
PO BOX 719
SUNNYSIDE, WA 989440719
Phone: (509) 837-1617
Type: Mailing
803 E LINCOLN AVE STE 3
SUNNYSIDE, WA 989442383
Phone: (509) 837-7551
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 $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2024-08-30 • Largest payer in this snapshot: Xeris Pharmaceuticals, Inc. ($40).
Total Amount
$40
General + Research + Ownership
Payments
1
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Xeris Pharmaceuticals, Inc. | $40 |
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: 2020-04-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200416000309 | I | Physician Assistant | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98944)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | OH | |
| - | MT | |
| - | ID | |
| Internal Medicine | WA | |
| Nurse Practitioner | WA | |
| - | MA | |
| Diagnostic Radiology | MN |
Reviews
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