ROBERT WILLIAM GARDNER
NPI 1023183829
Family Medicine - Addiction Medicine in Lucerne, CA

Q: What is Robert Gardner's NPI number?

The NPI number for Robert Gardner is 1023183829. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is Robert Gardner's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Q: When was this NPI record last updated?

The NPPES record for Robert Gardner was last updated on November 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 November 21, 2006PECOS Enrolled

6300 E. HWY 20, LUCERNE, CA 95458(707) 274-9299(707) 274-9297 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Robert William Gardner NPPES

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

ROBERT WILLIAM GARDNER (NPI 1023183829) is an individual addiction medicine provider in Lucerne, California, licensed in California (G30366) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023183829

Entity TypeIndividualMale

Primary Taxonomy207QA0401X

Provider Legal NameROBERT WILLIAM GARDNER

Location Address6300 E. HWY 20Lucerne, CA 95458

Mailing Address10458 Chatten CourtClearlake Oaks, CA 95423-7050 · (707) 274-9299 · Fax (707) 274-9297

Phone(707) 274-9299

Fax(707) 274-9297

Sole ProprietorYes

Enumeration DateNovember 21, 2006

Last NPPES UpdateNovember 1, 2012

✔ NPI 1023183829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

License✔ Licensed in CA · G30366

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

6300 E. HWY 20, Lucerne, CA 95458

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Other Identifiers 3

Medicare UPINA44393CA

Medicare ID-Type Unspecified00G303660CA

Medicaid00G303660CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert William Gardner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95458 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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 2

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

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

DME-Oxygen and Supplies · category DC000N

1 supplier27 claims27 services$18.89 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

1 supplier54 claims54 services$101.57 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 14

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

ROBERT W. GARDNER PSG-DR. GARDNER OUTPATIENT PROGRAM

Community/Behavioral Health