KARLY GARDNER DO
NPI 1033811526
Family Medicine in Provo, UT

Q: 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.

Q: What is Karly Gardner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Karly Gardner was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 March 20, 2023PECOS Enrolled

475 W 940 N, PROVO, UT 84604(801) 357-7930 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

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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, maintains a secondary practice location in Park City, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2023).

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

Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2023

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

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID244704468

PECOS Enrollment IDI20260629004153

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.

Medicare Billing Reassignment

Medicare enrollment records show Karly Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc

0.9 mi

Internal Medicine

380 W 1230 N, STE 602
Provo, UT 84604

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1578079059 (801) 442-1853

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Karly Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karly Gardner reassigns Medicare benefits to Ihc Health Services Inc (Provo, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karly Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karly Gardner accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Karly Gardner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karly Gardner was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.