DR. SCOTT R GARDNER DDS
NPI 1104931526
Dentist - General Practice in Nampa, ID

Active since August 19, 2006PECOS Enrolled
2065 12TH AVE RD, NAMPA, ID 83686(208) 466-3239(208) 442-9541 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Scott R Gardner Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SCOTT R GARDNER DDS (NPI 1104931526) is an individual general practice provider in Nampa, Idaho, licensed in Idaho (D-3527) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104931526
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SCOTT R GARDNERCredential: DDS
Location Address2065 12TH AVE RDNampa, ID 83686-6311
Mailing Address2065 12th Ave. RdNampa, ID 83686 · (208) 466-3239 · Fax (208) 442-9541
Fax(208) 442-9541
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1104931526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in ID · D-3527
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2065 12TH AVE RD, Nampa, ID 83686

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Scott R Gardner Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83686 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
2065 12TH AVE RD
NAMPA, ID 83686
Dentist
2065 12TH AVE RD
NAMPA, ID 83686
Dentist
2065 12TH AVE RD
NAMPA, ID 83686

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104931526, enumerated as an "individual" on August 19, 2006.

The provider is located at 2065 12TH AVE RD NAMPA, ID 83686 and the phone number is (208) 466-3239.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.