SAMUEL D GARDNER DO
NPI 1962588111
Family Medicine in Salmon, ID

Q: What is Samuel Gardner's NPI number?

The NPI number for Samuel Gardner is 1962588111. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Q: What is Samuel Gardner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Gardner was last updated on September 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment

805 MAIN ST, SALMON, ID 83467(208) 756-6212(208) 756-6336 Get Directions Write a Review

NPPES record last updated: September 26, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Samuel D Gardner Do NPPES

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

SAMUEL D GARDNER DO (NPI 1962588111) is an individual family medicine provider in Salmon, Idaho, licensed in Idaho (O-174) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Steele Memorial Medical Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1994).

NPPES Registry Identity

NPI1962588111

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSAMUEL D GARDNERCredential: DO

Location Address805 MAIN STSalmon, ID 83467-0000

Mailing Address203 S Daisy StSalmon, ID 83467-0000 · (208) 756-5600 · Fax (208) 756-4169

Phone(208) 756-6212

Fax(208) 756-6336

Sole ProprietorYes

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1994

Enumeration DateOctober 31, 2006

Last NPPES UpdateSeptember 26, 2011

✔ NPI 1962588111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · O-174

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

805 MAIN ST, Salmon, ID 83467

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Other Identifiers 3

Medicaid804213400ID

Medicare ID-Type Unspecified1301638

Medicare UPING53441

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan, Select Health.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

Samuel D Gardner Do 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 ID4385776418

PECOS Enrollment IDI20100724000153

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 Reassignment

Medicare enrollment records show Samuel Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Steele Memorial Medical Center

0.1 mi

Critical Access

203 S DAISY ST
Salmon, ID 83467

Reassigned Medicare billing, Idaho enrollment
49 clinicians in this Medicare group

NPI 1851403265 (208) 756-5600

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 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Steele Memorial Medical Center

Critical Access Hospitals · Salmon, ID

OwnershipGovernment - Local

CMS Certification Number131305

LocationP O Box 700Salmon, ID 83467 · Lemhi County

Emergency services

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number270014

Location500 W BroadwayMissoula, MT 59806 · Missoula County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83467 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

Referred Medical Equipment & Supplies CMS DME claims 38

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers33 claims115 services$6.33 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

3 suppliers12 claims14 services$2.31 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers20 claims37 services$1.14 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

2 suppliers16 claims3,760 services$1.40 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

3 suppliers15 claims275 services$5.63 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

9 suppliers50 claims50 services$36.94 avg. paid by Medicare

Collagen based wound filler, dry form, sterile, per gram of collagen A6010

DME-Medical/Surgical Supplies · category DA023N

1 supplier24 claims751 services$29.83 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219

DME-Medical/Surgical Supplies · category DA023N

1 supplier18 claims646 services$0.92 avg. paid by Medicare

Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6237

DME-Medical/Surgical Supplies · category DA023N

1 supplier12 claims186 services$7.62 avg. paid by Medicare

Hydrocolloid dressing, wound filler, paste, sterile, per ounce A6240

DME-Medical/Surgical Supplies · category DA023N

1 supplier14 claims64 services$11.88 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

4 suppliers20 claims39 services$1.64 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

3 suppliers12 claims12 services$20.29 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

9 suppliers50 claims50 services$105.57 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

9 suppliers49 claims131 services$42.76 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

4 suppliers16 claims85 services$23.08 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers12 claims70 services$14.99 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

6 suppliers34 claims34 services$55.98 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

11 suppliers54 claims54 services$22.17 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers22 claims22 services$20.52 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

11 suppliers71 claims414 services$3.04 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

6 suppliers13 claims13 services$8.47 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

9 suppliers34 claims34 services$11.75 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress E0295

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$66.12 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers145 claims145 services$19.53 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers30 claims30 services$783.77 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier17 claims17 services$13.58 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers34 claims34 services$6.51 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers83 claims83 services$40.83 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers427 claims427 services$113.13 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers95 claims95 services$36.59 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

3 suppliers33 claims1,860 services$6.45 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers13 claims1,873 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers44 claims5,220 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers90 claims4,530 services$0.76 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

3 suppliers17 claims89,250 services$0.15 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers28 claims28 services$209.01 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier27 claims27 services$38.20 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers114 claims114 services$24.43 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

DAVID B YANOFF MD

Orthopaedic Surgery

805 MAIN ST
SALMON, ID 83467

Lemhi County (208) 756-6212

STEELE MEMORIAL MEDICAL CENTER

Clinic/Center

805 MAIN ST
SALMON, ID 83467

Lemhi County (208) 756-6212

SUZANNE NEBEKER NP

Nurse Practitioner (Family)

805 MAIN ST
SALMON, ID 83467

Lemhi County (208) 756-6212

AUSTIN TROY VANORDEN PA

Physician Assistant

805 MAIN ST
SALMON, ID 83467

Lemhi County (208) 756-6212

WILLOW GRIFFITH APRN-C

Nurse Practitioner (Family)

805 MAIN ST
SALMON, ID 83467

Lemhi County (208) 756-6212

LORRAINE ADAMS PA-C

Physician Assistant

805 MAIN ST
SALMON, ID 83467

Lemhi County (208) 756-5666

RICHARD M NATELSON MD

Obstetrics & Gynecology

805 MAIN ST
SALMON, ID 83467

Lemhi County (208) 756-6212

DR. ADAM DEUTCHMAN MD

Surgery

805 MAIN ST
SALMON, ID 83467

Lemhi County (208) 756-6212

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 Samuel Gardner's NPI number?

The NPI number for Samuel Gardner is 1962588111. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Samuel Gardner located?

Samuel Gardner practices at 805 Main St, Salmon, ID 83467. The listed phone number is (208) 756-6212.

What is Samuel Gardner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samuel Gardner enrolled in Medicare?

Yes. Samuel 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.

Which organization bills Medicare for Samuel Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Gardner reassigns Medicare benefits to Steele Memorial Medical Center (Salmon, ID). The 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 Samuel Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Gardner accept?

Health plans from PacificSource Health Plans, Providence Health Plan and Select Health list Samuel Gardner 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 Samuel Gardner affiliated with any hospitals?

According to CMS data, Samuel Gardner is affiliated with Steele Memorial Medical Center and St. Patrick Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Gardner was last updated on September 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.