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DYLAN SEAN GARDNER PA-C
NPI 1710761812
Physician Assistant in Stillwater, OK

Active since August 21, 2023PECOS EnrolledAccepts Medicare Assignment
5606 PURA VIDA TRL, STILLWATER, OK 74074(405) 880-1234 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2025, Aug 21, 2023 (2 updates tracked since 2023).

About Dylan Sean Gardner Pa-c NPPES

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

DYLAN SEAN GARDNER PA-C (NPI 1710761812) is an individual physician assistant in Stillwater, Oklahoma, licensed in Oklahoma (5704) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Stillwater Medical Center, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2025).

NPPES Registry Identity

NPI1710761812
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDYLAN SEAN GARDNERCredential: PA-C
Location Address5606 PURA VIDA TRLStillwater, OK 74074-2692
Mailing Address5606 Pura Vida TrlStillwater, OK 74074-2692 · (405) 880-1234
Phone(405) 880-1234
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2025
Enumeration DateAugust 21, 2023
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1710761812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OK · 5704
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5606 PURA VIDA TRL, Stillwater, OK 74074
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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

Dylan Sean Gardner Pa-c 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 ID8921585548
PECOS Enrollment IDI20260124000294
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.

Stillwater Medical Center

Acute Care Hospitals · Stillwater, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370049
Location1323 West 6th StreetStillwater, OK 74076 · Payne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74074 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

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 Dylan Gardner's NPI number?

The NPI number for Dylan Gardner is 1710761812. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Where is Dylan Gardner located?

Dylan Gardner practices at 5606 Pura Vida Trl, Stillwater, OK 74074. The listed phone number is (405) 880-1234.

What is Dylan Gardner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dylan Gardner enrolled in Medicare?

Yes. Dylan Gardner 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.

Is Dylan Gardner affiliated with any hospitals?

According to CMS data, Dylan Gardner is affiliated with Stillwater Medical Center.

When was this NPI record last updated?

The NPPES record for Dylan Gardner was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.