DR. PHILIP SCOTT GAFFORD MD
NPI 1275743502
Surgery in Lima, OH
About Dr. Philip Scott Gafford Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHILIP SCOTT GAFFORD MD (NPI 1275743502) is an individual surgery provider in Lima, Ohio, licensed in Texas (P6818) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Christus Spohn Hospital Corpus Christi, and is a graduate of Meharry Medical College School Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 3
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. Philip Scott Gafford 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.
Medicare Billing Reassignments
4Medicare enrollment records show Philip Gafford reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Heath, TX 75032
- Reassigned Medicare billing, Texas enrollment
- 3,167 clinicians in this Medicare group
Midland, TX 79701
- Reassigned Medicare billing, Texas enrollment
- 14 clinicians in this Medicare group
Corpus Christi, TX 78404
- Reassigned Medicare billing, Texas enrollment
- 130 clinicians in this Medicare group
Crystal City, TX 78839
- Reassigned Medicare billing, Texas enrollment
- Also billed through NPI 1326134255 (Texas)
- 57 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus Spohn Hospital Corpus Christi
Acute Care Hospitals · Corpus Christi, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45804 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 12
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 Philip Gafford's NPI number?
The NPI number for Philip Gafford is 1275743502. It was assigned to this individual provider in the NPPES registry on May 23, 2007.
Where is Philip Gafford located?
Philip Gafford practices at 1003 Bellefontaine Ave Ste 125, Lima, OH 45804. The listed phone number is (419) 998-8207.
What is Philip Gafford's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Philip Gafford enrolled in Medicare?
Yes. Philip Gafford 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 organizations bill Medicare for Philip Gafford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Gafford reassigns Medicare benefits to 4 organizations: Healthtexas Provider Network (Heath, TX), Midland Surgical Associates, P.A. (Midland, TX), Acute Care Surgical Affiliates Of Texas PA (Corpus Christi, TX) and Dimmit Regional Hospital (Crystal City, TX). Each 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 Philip Gafford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip Gafford accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and Ambetter from Louisiana Healthcare Connections and 5 other insurers list Philip Gafford 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 Philip Gafford affiliated with any hospitals?
According to CMS data, Philip Gafford is affiliated with Christus Spohn Hospital Corpus Christi.
When was this NPI record last updated?
The NPPES record for Philip Gafford was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 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. Philip Scott Gafford, MD · NPI 1275743502
Surgery physician in Lima, Ohio. Individual provider, active in the CMS NPPES registry since May 23, 2007.
## Identity
- **NPI:** 1275743502 (Entity type: Individual)
- **Enumerated:** May 23, 2007
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** P6818 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1003 BELLEFONTAINE AVE STE 125, Lima, OH 45804
- **Phone:** (419) 998-8207 · **Fax:** (419) 998-8216
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Healthtexas Provider Network (NPI 1538164116, Heath, TX); Midland Surgical Associates, P.A. (NPI 1356452668, Midland, TX); Acute Care Surgical Affiliates Of Texas PA (NPI 1407322415, Corpus Christi, TX); Dimmit Regional Hospital (NPI 1750901070, Crystal City, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Meharry Medical College School Of Medicine, class of 2005
## Record status
- **NPPES last updated:** September 29, 2026
- **Other identifiers:** Medicaid 0219492 (OH); Medicaid 327562003 (TX); Other 000001082699 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1275743502) · Data from the CMS NPPES public registry.