PHILIP GARDNER MD
NPI 1265827356
Otolaryngology in Post Falls, ID

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment
94.91/100
CMS Quality Rating
849 N SYRINGA ST, POST FALLS, ID 83854(208) 777-1320(208) 777-1322 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Philip Gardner Md NPPES

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

PHILIP GARDNER MD (NPI 1265827356) is an individual otolaryngology provider in Post Falls, Idaho, licensed in Idaho (M-14854) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains a secondary practice location in Coeur D Alene.

NPPES Registry Identity

NPI1265827356
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NamePHILIP GARDNERCredential: MD
Location Address849 N SYRINGA STPost Falls, ID 83854-8794
Mailing Address849 N Syringa StPost Falls, ID 83854-8794 · (208) 777-1320 · Fax (208) 777-1322
Fax(208) 777-1322
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2015
Enumeration DateApril 6, 2015
Last NPPES UpdateFebruary 6, 2024
NPPES CertifiedFebruary 6, 2024
NPI 1265827356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in ID · M-14854
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

849 N SYRINGA ST, Post Falls, ID 83854

Secondary Practice Location 1

Location 12288 N Merritt Creek Loop Ste 100Coeur D Alene, ID 83814-4992 · Phone (208) 215-2284 · Fax (208) 215-2283

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 and accepts Medicare assignment

Philip Gardner Md 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.

PECOS PAC ID244529857
PECOS Enrollment IDI20200603001147
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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
309 services49 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
259 services24 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
220 services19 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
193 services147 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
156 services116 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
146 services146 patients

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, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Bonner General Hospital

Critical Access Hospitals · Sandpoint, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131328
Location520 North Third AvenueSandpoint, ID 83864 · Bonner County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83854 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality87.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Audiologist
849 N SYRINGA ST
POST FALLS, ID 83854
Otolaryngology
849 N SYRINGA ST
POST FALLS, ID 83854
Otolaryngology
849 N SYRINGA ST
POST FALLS, ID 83854
Audiologist
849 N SYRINGA ST
POST FALLS, ID 83854
Specialist
849 N SYRINGA ST
POST FALLS, ID 83854
Otolaryngology
849 N SYRINGA ST
POST FALLS, ID 83854
Audiologist
849 N SYRINGA ST
POST FALLS, ID 83854

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265827356, enumerated as an "individual" on April 06, 2015.

The provider is located at 849 N SYRINGA ST POST FALLS, ID 83854 and the phone number is (208) 777-1320.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.

Philip Gardner is affiliated with: KOOTENAI HEALTH and BONNER GENERAL HOSPITAL.