NPPES file of Aug 9, 2026

Paul Richard Gardial, M.D.

Family Medicine Physician · Texarkana, TX

Paul Richard Gardial, M.D. is a family medicine physician with a practice address in Texarkana, Texas, and NPI 1639170194, issued on Aug 9, 2005. Check the license (Texas M7986, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1639170194
Name
Paul Richard Gardial
Credential
M.D.
Primary taxonomy
Family Medicine Physician 207Q00000X
License numbers
M7986 TX
E3062 AR
Self-reported in NPPES; status is on the state search
Practice location
1408 College Dr, Texarkana, TX 75503
Phone
(903) 794-0515
Enumerated
Aug 9, 2005
Record last updated
Sep 16, 2013 (not updated in 13 years: call before relying on the address or phone)
Fax
(903) 793-8000
Medicaid IDs
146876001 AR
195221002 TX
Medicare enrollment
Enrolled (PECOS I20040616000821); accepts Medicare assignment
Medical or professional school
University Of Arkansas College Of Medicine, 2000
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1408 College Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Brooke Carr, PA-CPhysician Assistant1699242347
  2. Blane Graves, MDFamily Medicine Physician1124010301
  3. James Scales, MDObstetrics & Gynecology Physician1750381158
  4. Shannon Smith, NPFamily Nurse Practitioner1912507419
  5. Annie Sparks, PA-CPhysician Assistant1952164980
  6. Kaitlyn Thomason, PA-CPhysician Assistant1578251757

Verify Paul Richard Gardial in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license M7986
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Texas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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3.4 times the Medicare Part D claims of the average family medicine physician in 2024

12,188 Medicare Part D claims for 561 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims. 307 claims were for opioids.

  1. Paul Gardial12,188
  2. Specialty average3,544

Most prescribed

  1. Atorvastatin Calcium437 claims
  2. Losartan Potassium428 claims
  3. Pantoprazole Sodium402 claims
  4. Lisinopril383 claims
  5. Amlodipine Besylate317 claims
  6. Levothyroxine Sodium306 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $935.29

61 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Paul Gardial$935.29
  2. Specialty average$902.55

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Collom And Carney Clinic AssociationPrescott, AR

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Paul Richard Gardial among 11,119 family medicine physician records in Texas

Paul Richard Gardial, M.D. is one of 11,119 family medicine physician records with a practice address in Texas. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 88% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 64% of these records are
  • Graduated2000 · median 2004 among the 7,095 with a school on file
  • Record last updated2013 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

34 family medicine physician records list a practice address in Texarkana

They are 34 of the 1,147 NPPES records with a practice address in Texarkana, and 11,119 family medicine physician records in Texas.

The 8 family medicine physician records with the nearest ZIP codes

  1. Cheryl Clevenger, MDTexarkana, TX 755031942200357
  2. Craig Ditsch, MDTexarkana, TX 755031700886603
  3. Mark Gabbie, MDTexarkana, TX 755031386622827
  4. Blane Graves, MDTexarkana, TX 755031124010301
  5. Claudia Jordan, M.D.Texarkana, TX 755031336147701
  6. David McKay, MDTexarkana, TX 755031386646362
  7. John Nix, MDTexarkana, TX 755031972598837
  8. Wilmer Reep, MDTexarkana, TX 755031013918093

Common questions

What is Paul Richard Gardial, M.D.'s NPI number?

Paul Richard Gardial, M.D.'s National Provider Identifier (NPI) is 1639170194, issued on Aug 9, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Paul Richard Gardial, M.D. located?

The NPPES record lists a practice address at 1408 College Dr, Texarkana, TX, 75503. Phone: (903) 794-0515. Providers update this record themselves, so call before visiting.

How can I verify Paul Richard Gardial, M.D.'s license?

NPPES lists Texas license number M7986, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Paul Richard Gardial, M.D. prescribe under Medicare Part D?

In 2024, Paul Richard Gardial, M.D. had 12,188 Medicare Part D claims for 561 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.