PHILIP GARD (DO) – Family Medicine Physician, NPI 1043955909

PHILIP GARD (DO) is a healthcare provider. based in Casper, Wyoming. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 108574-146 (WY). The NPI Number for PHILIP GARD (DO) is 1043955909

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP GARD (DO)
NPI
1043955909
Phone
(307) 234-6161
Address
1522 E A ST
Enumeration Date
4 May 2022
Last Update Date
27 June 2022

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
3078642146
Graduation Year
2022 (4 years ago)
PAC ID
8426548447
Group Practice PAC ID
5092606293
Professional Enrollment ID
I20251107002405
Address ID
WY824432402TH148XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

328 FAMILY PRACTICE in WY

Provider Addresses for PHILIP GARD (DO)

  • 1522 E A ST

    CASPER, WY 826012221

    Phone: (307) 234-6161

    Mailing address matches the actual address.

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: 2025-11-07

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
I20251107002405IFamily PracticeWYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82601)

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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: 5092606293View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNE
Occupational Therapist In Private PracticeWY
Physician AssistantWY
Family PracticeWY
Orthopedic SurgeryWI
Physical Therapist In Private PracticeWY
-WY
Occupational Therapist In Private PracticeCA
Physician AssistantTN
Physical Therapist In Private PracticeWY

Reviews

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Frequently asked questions

Is there an official ID for PHILIP GARD (DO) in U.S. healthcare records?
The official identifier for PHILIP GARD (DO) is NPI 1043955909.
Active or inactive — what applies to PHILIP GARD (DO)?
You should see PHILIP GARD (DO) as active in CMS-hosted NPPES data.
What expertise is attributed to PHILIP GARD (DO)?
PHILIP GARD (DO)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Wyoming is PHILIP GARD (DO) registered?
Use Casper, Wyoming as the headline location for PHILIP GARD (DO) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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