DR. GAVIN GUARD DMS, PA-C, MPAS
NPI 1033735618
Physician Assistant - Medical in Meridian, ID
About Dr. Gavin Guard Dms, Pa-c, Mpas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GAVIN GUARD DMS, PA-C, MPAS (NPI 1033735618) is an individual medical provider in Meridian, Idaho, licensed in Washington (PA61076381) and active in the NPI registry since June 2020. He has opted out of Medicare through August 25, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Gavin Guard Dms, Pa-c, Mpas has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 25, 2020 through August 25, 2026.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MERIDIAN, ID 83642
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gavin Guard's NPI number?
The NPI number for Gavin Guard is 1033735618. It was assigned to this individual provider in the NPPES registry on June 19, 2020.
Where is Gavin Guard located?
Gavin Guard practices at 2939 W Excursion Ln, Meridian, ID 83642. The listed phone number is (208) 385-7711.
What is Gavin Guard's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Gavin Guard enrolled in Medicare?
No. Gavin Guard has opted out of Medicare through August 25, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Gavin Guard accept?
Health plans from Providence Health Plan list Gavin Guard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gavin Guard was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Gavin Guard, DMS, PA-C, MPAS · NPI 1033735618
Medical physician in Meridian, Idaho. Individual provider, active in the CMS NPPES registry since June 19, 2020.
## Identity
- **NPI:** 1033735618 (Entity type: Individual)
- **Enumerated:** June 19, 2020
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA61076381 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 2939 W EXCURSION LN, Meridian, ID 83642-5308
- **Phone:** (208) 385-7711 · **Fax:** (208) 385-0346
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through August 25, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** July 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033735618) · Data from the CMS NPPES public registry.