DR. DONALD DOUGLAS GANDY DO
NPI 1073552808
Internal Medicine in St Maries, ID
About Dr. Donald Douglas Gandy Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DONALD DOUGLAS GANDY DO (NPI 1073552808) is an individual internal medicine provider in St Maries, Idaho, licensed in Idaho (O-1923) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Donald Douglas Gandy Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Donald Gandy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Maries, ID 83861
- Reassigned Medicare billing, Idaho enrollment
- Also billed through NPI 1548320435 (Idaho)
- 60 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kootenai Health
Acute Care Hospitals · Coeur D'alene, IDBenewah Community Hospital
Critical Access Hospitals · St Maries, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83861 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Donald Gandy's NPI number?
The NPI number for Donald Gandy is 1073552808. It was assigned to this individual provider in the NPPES registry on June 6, 2006. The provider is also known as Dr. Doug Gandy Do.
Where is Donald Gandy located?
Donald Gandy practices at 229 S 7th St Ste 300, St Maries, ID 83861. The listed phone number is (208) 245-2591.
What is Donald Gandy's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Donald Gandy enrolled in Medicare?
Yes. Donald Gandy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Donald Gandy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donald Gandy reassigns Medicare benefits to Benewah Community Hospital (St Maries, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Gandy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donald Gandy accept?
Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare, Oscar Health and Oscar Insurance Company and 4 other insurers list Donald Gandy 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.
Is Donald Gandy affiliated with any hospitals?
According to CMS data, Donald Gandy is affiliated with Kootenai Health and Benewah Community Hospital.
When was this NPI record last updated?
The NPPES record for Donald Gandy was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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. Donald Douglas Gandy, DO · NPI 1073552808
Internal Medicine physician in St Maries, Idaho. Individual provider, active in the CMS NPPES registry since June 6, 2006.
## Identity
- **NPI:** 1073552808 (Entity type: Individual)
- **Enumerated:** June 6, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** O-1923 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 229 S 7TH ST STE 300, St Maries, ID 83861-1803
- **Phone:** (208) 245-2591 · **Fax:** (208) 245-5246
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Benewah Community Hospital (NPI 1386632180, St Maries, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** November 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073552808) · Data from the CMS NPPES public registry.