Doctor profile · Federal record
Dr. Shannon Gardiner, PA
Surgical Physician Assistant (CMS: Physician Assistant) · Physician Assistant · Meridian, ID
- NPI 1689701260
- Accepts Medicare
- 24 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
875 S Vanguard Way Ste 200
Meridian, ID 836428542
(208) 809-2895
fax (208) 809-2896 - Additional location
-
360 E Montvue Dr, Suite 100
Meridian, ID 836426318
(208) 855-2900
fax (208) 898-9877 - Mailing address
-
Po Box 191050
Boise, ID 837191050
Credentials & registration
- NPI registered
- February 2007 — 19 yrs on file
- Profile last updated
- April 24, 2024
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State licenses (2)
- Idaho #PA-403 · Idaho #PA403
- Medicaid
- ID #806483300
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1689701260. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
703
Distinct HCPCS
8
Medicare allowed
$53,002
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
69210 |
Removal of impacted ear wax | 194 | 98 | $36 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 181 | 119 | $99 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 143 | 105 | $71 | |
31575 |
Diagnostic exam of voice box using a flexible endoscope | 64 | 55 | $99 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 54 | 54 | $129 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 29 | 29 | $85 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 22 | 20 | $44 | |
70486 |
Ct scan of face without contrast | 16 | 15 | $82 |
In context: peer comparison
Among 4 peers in Meridian Surgical Physician Assistant, average services per provider: 57. This provider delivers 12× the peer median.Open Payments
Industry payments received
All-time total
$210
Transactions
4
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Regeneron Healthcare Solutions, INC. | 1 | $125.31 | |
| Optinose US, INC. | 1 | $38.80 | |
| Phathom Pharmaceuticals, INC. | 1 | $23.98 | |
| Inspire Medical Systems, INC. | 1 | $22.06 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
869
Patients
317
Total drug cost
$20,549
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Famotidine | Generic | 166 | 56 | $3,012 |
| Omeprazole | Generic | 119 | 35 | $1,413 |
| Fluticasone Propionate | Generic | 108 | 45 | $2,036 |
| Ipratropium Bromide | Generic | 102 | 40 | $4,474 |
| Azelastine Hcl | Generic | 59 | 20 | $2,099 |
| Levothyroxine Sodium | Generic | 56 | 11 | $544 |
| Mupirocin | Generic | 55 | 36 | $718 |
| Montelukast Sodium | Generic | 39 | 11 | $561 |
| Pilocarpine Hcl | Generic | 37 | 14 | $2,645 |
| Esomeprazole Magnesium | Generic | 33 | 0 | $1,955 |
Hospital affiliations
Frequently asked questions
What is Dr. Shannon Gardiner's medical specialty?
Dr. Shannon Gardiner practices Surgical Physician Assistant in Meridian, ID.
Where does Dr. Shannon Gardiner practice?
Dr. Shannon Gardiner practices at 875 S Vanguard Way Ste 200, Meridian, ID 836428542. Office phone: 2088092895.
What is Dr. Shannon Gardiner's NPI?
Dr. Shannon Gardiner's National Provider Identifier (NPI) is 1689701260, issued by NPPES.
Does Dr. Shannon Gardiner accept Medicare assignment?
Yes. Dr. Shannon Gardiner accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shannon Gardiner commonly perform?
Top Medicare-reported procedures in 2023: Removal of impacted ear wax (HCPCS 69210); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.