Paul Richard Gardial, M.D.
NPI 1639170194ActiveIndividual· Family Medicine· Texarkana, TX
Family Medicine (M.D.) in Texarkana, Texas, trained at University of Arkansas College of Medicine (class of 2000). Their prescriptions cost Medicare Part D more than their services did: $851,157 for 12,188 claims, against $200,725 paid for services in 2024. Pfizer Inc. was the largest of 17 companies reporting payments in 2025, $1,059 in all, mostly food and beverage.
Overview
| NPI | 1639170194 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 9, 2005 |
| Last updated in NPPES | Sep 16, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | M7986 | TX |
| Family Medicine | 207Q00000X | E3062 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (AR); Practitioner - Family Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 424 |
|---|---|
| Services billed | 7,590 across 125 procedure codes |
| Paid by Medicare | $200,725 |
Part D prescriptions in 2024
| Prescriptions (claims) | 12,188 · 24,494 30-day fills |
|---|---|
| Patients | 561 |
| Total drug cost | $851,157 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | University of Arkansas College of Medicine |
|---|---|
| Graduation year | 2000 |
| Medicare specialty | Family Practice |
Medical group
- Collom and Carney Clinic AssociationTexarkana, TX · 51 clinicians
Hospital affiliation
- Christus St Michael Health SystemTexarkana, TX
Other facilities
- Encompass Health Home HealthHome health agency · Texarkana, AR
Industry payments (Open Payments)
- 2025$1,059 · 54 payments from 17 companies
- 2024$935.29 · 61 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $187.27 | 11 |
| Novo Nordisk Inc | $94.43 | 5 |
| Astrazeneca Pharmaceuticals LP | $84.54 | 5 |
| Abbott Laboratories | $82.06 | 4 |
| Phathom Pharmaceuticals, Inc. | $78.11 | 5 |
What the 2025 payments were for
- Food and Beverage$1,059 · 54 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 48 family medicine physicians in Texarkana · All family medicine physicians in Texas