1. Home
  2. Directory
  3. Utah
  4. Provo
  5. Family Medicine
  6. NPI Profile

KARLY GARDNER DO
NPI 1033811526
Family Medicine in Provo, UT

Active since March 20, 2023PECOS Enrolled

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2026, Apr 20, 2026, Mar 31, 2026 and 1 more (4 updates tracked since 2023).

About Karly Gardner Do NPPES

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

KARLY GARDNER DO (NPI 1033811526) is an individual family medicine provider in Provo, Utah, licensed in Utah (14201845-1204) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Park City.

NPPES Registry Identity

NPI1033811526
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKARLY GARDNERCredential: DO
Location Address475 W 940 NProvo, UT 84604-3301
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 357-7930
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateMay 4, 20264 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1033811526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 14201845-1204
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.
475 W 940 N, Provo, UT 84604
Open in Google Maps ↗

Other Names 1

Former Name (1)Karly Castellaw

Secondary Practice Location 1

Location 1750 Round Valley Dr Ste 201Park City, UT 84060-7549 · Phone (435) 649-7680

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karly Gardner Do 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 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES 20

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

MR. TYLER JASON FIELDSTED DO
Family Medicine
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7926
TYSON DEKORSE M.D.
Student in an Organized Health Care Education/Training Program
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7940
SAMANTHA BENGTZEN DERZON MD
Family Medicine
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7940
EASTON E WEAVER
Student in an Organized Health Care Education/Training Program
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7930
MARK CONLEY DO
Student in an Organized Health Care Education/Training Program
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7930
DR. JASON ROBERT HERMAN D.O.
Family Medicine
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7930
MARIANGELA SANTIAGO PARRA DO
Student in an Organized Health Care Education/Training Program
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7930
CESAR PRUGUE CHAMORRO
Student in an Organized Health Care Education/Training Program
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7930

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 Karly Gardner's NPI number?

The NPI number for Karly Gardner is 1033811526. It was assigned to this individual provider in the NPPES registry on March 20, 2023. The provider is also known as Karly Castellaw.

Where is Karly Gardner located?

Karly Gardner practices at 475 W 940 N, Provo, UT 84604. The listed phone number is (801) 357-7930.

What is Karly Gardner's specialty?

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

Is Karly Gardner enrolled in Medicare?

Yes. Karly Gardner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Karly Gardner was last updated on May 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.