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IAN TREVOR GAILLARD M.D.
NPI 1912112632
Internal Medicine - Gastroenterology in Pine Bluff, AR

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
1609 W 40TH AVE STE 401, PINE BLUFF, AR 71603(870) 541-7201(870) 541-7202 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ian Trevor Gaillard M.d. NPPES

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

IAN TREVOR GAILLARD M.D. (NPI 1912112632) is an individual gastroenterology provider in Pine Bluff, Arkansas, licensed in Arkansas (E17339) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (2002).

NPPES Registry Identity

NPI1912112632
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameIAN TREVOR GAILLARDCredential: M.D.
Location Address1609 W 40TH AVE STE 401Pine Bluff, AR 71603-6365
Mailing AddressPo Box 2650Pine Bluff, AR 71613-2650 · (870) 541-7211 · Fax (870) 541-4297
Phone(870) 541-7201
Fax(870) 541-7202
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2002
Enumeration DateMay 14, 2007
Last NPPES UpdateFebruary 6, 2024
NPPES CertifiedFebruary 6, 2024
✔ NPI 1912112632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in AR · E17339✔ Licensed in TN · 49633
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1609 W 40TH AVE STE 401, Pine Bluff, AR 71603
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Ian Trevor Gaillard M.d. 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 ID9830369685
PECOS Enrollment IDI20231206004365
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ian Gaillard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jefferson Hospital Assn, Inc.
Same address
Surgery
1609 W 40TH AVE, SUITE 403
Pine Bluff, AR 71603
  • Reassigned Medicare billing, Arkansas enrollment
  • Medicare enrollment name: Jefferson Hospital Association, Inc
  • 106 clinicians in this Medicare group
NPI 1962753574 (870) 541-5981
Phillip R. Bowden, M.D.,p.A.
132 mi
Gastroenterology
1417 MONROE AVE
Memphis, TN 38104
  • Reassigned Medicare billing, Tennessee enrollment
  • 34 clinicians in this Medicare group
NPI 1932216389 (901) 272-7200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
81 services77 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
78 services67 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
61 services61 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
53 services52 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
48 services48 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
44 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71603 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
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

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

JULIA MAE MEYER PA-C
Physician Assistant
1609 W 40TH AVE STE 401
PINE BLUFF, AR 71603
Jefferson County (870) 541-7211

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 Ian Gaillard's NPI number?

The NPI number for Ian Gaillard is 1912112632. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Ian Gaillard located?

Ian Gaillard practices at 1609 W 40th Ave Ste 401, Pine Bluff, AR 71603. The listed phone number is (870) 541-7201.

What is Ian Gaillard's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ian Gaillard enrolled in Medicare?

Yes. Ian Gaillard 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 Ian Gaillard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ian Gaillard reassigns Medicare benefits to 2 organizations: Jefferson Hospital Assn, Inc. (Pine Bluff, AR) and Phillip R. Bowden, M.D.,p.A. (Memphis, TN). 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 Ian Gaillard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ian Gaillard accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Ian Gaillard 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.

When was this NPI record last updated?

The NPPES record for Ian Gaillard was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.