DR. PHILIP SCOTT GAFFORD MD
NPI 1275743502
Surgery in Lima, OH

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
1003 BELLEFONTAINE AVE STE 125, LIMA, OH 45804(419) 998-8207(419) 998-8216 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2021, Mar 7, 2019, Sep 12, 2018 and 3 more (6 updates tracked since 2016).

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

NPI1275743502
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. PHILIP SCOTT GAFFORDCredential: MD
Location Address1003 BELLEFONTAINE AVE STE 125Lima, OH 45804
Mailing Address1001 Bellefontaine AveLima, OH 45804-2800 · (419) 998-4575 · Fax (419) 998-4514
Fax(419) 998-8216
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2005
Enumeration DateMay 23, 2007
Last NPPES UpdateDecember 13, 20216 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
NPI 1275743502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in TX · P6818 Licensed in OH · 35.131215
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 35.131215 (OH)
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 35.131215 (OH)
1003 BELLEFONTAINE AVE STE 125, Lima, OH 45804

Other Identifiers 3

Medicaid327562003TX
Medicaid0219492OH
Other000001082699OH · Bcbs

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

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.

PECOS PAC ID8628248291
PECOS Enrollment IDI20130911000032
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.

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, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450046
Location600 Elizabeth StreetCorpus Christi, TX 78404 · Nueces County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 15

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

Physician Assistant (Surgical)
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Colon & Rectal Surgery
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Nurse Practitioner (Family)
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Physician Assistant
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Physician Assistant
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Neurological Surgery
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Neurological Surgery
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Physician Assistant
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804

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.

What insurance does Philip Gafford accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 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 December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.