DR. GABRIEL CARDENAS JR. D.P.M.
NPI 1043521719
Podiatrist - Foot & Ankle Surgery in Maryville, IL

Q: What is Gabriel Cardenas's NPI number?

The NPI number for Gabriel Cardenas is 1043521719. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Q: What is Gabriel Cardenas's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Gabriel Cardenas was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 June 28, 2010PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

6810 STATE ROUTE 162, SUITE 20, MARYVILLE, IL 62062(618) 288-2835(618) 288-6162 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Gabriel Cardenas Jr. D.p.m. NPPES

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

DR. GABRIEL CARDENAS JR. D.P.M. (NPI 1043521719) is an individual foot & ankle surgery provider in Maryville, Illinois, licensed in Illinois (016.005608) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of William M. Scholl College Of Podiatric Medicine (2010).

NPPES Registry Identity

NPI1043521719

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. GABRIEL CARDENAS JR.Credential: D.P.M.

Location Address6810 STATE ROUTE 162, SUITE 20Maryville, IL 62062-8587

Mailing Address521 Meadow Glen CtHouse Springs, MO 63051-4320 · (618) 514-1308

Phone(618) 288-2835

Fax(618) 288-6162

Sole ProprietorYes

Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 2010

Enumeration DateJune 28, 2010

Last NPPES UpdateNovember 17, 2016

✔ NPI 1043521719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Licenses✔ Licensed in IL · 016.005608✔ Licensed in MO · 2010021578

6810 STATE ROUTE 162, Maryville, IL 62062

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Other Identifiers 3

Medicare UPINF100153987IL

OtherF100153987IL · Medicare Group Ptan

Medicare PINF400153992IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gabriel Cardenas Jr. D.p.m. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426203191

PECOS Enrollment IDI20140801001524

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.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

467 services217 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

157 services64 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

148 services58 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

148 services58 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

121 services121 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

97 services59 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

44 services30 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

40 services19 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

39 services31 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

28 services11 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

24 services16 patients

Permanent removal fingernail or toenail 11750

Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.

23 services18 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

19 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services12 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital

Acute Care Hospitals · Belleville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140185

Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County

Emergency services Birthing friendly

Anderson Hospital

Acute Care Hospitals · Maryville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140289

Location6800 State Route 162Maryville, IL 62062 · Madison County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Reported Quality Measures

Medication Reconciliation Post-Discharge

The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…

100%58 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

1 supplier11 claims11 services$203.48 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 20

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

MSA ALLIANCE, LLC DBA-SOUTHERN ILLINOIS VASCULAR AND VEIN SURGERY

Surgery (Vascular Surgery)

6810 STATE ROUTE 162, SUITE 100
MARYVILLE, IL 62062

Madison County (618) 334-2425

MICHAEL PETRU CRNA

Nurse Anesthetist, Certified Registered

6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062

Madison County (618) 288-5711

MICHAEL SOUTHWICK CRNA

Nurse Anesthetist, Certified Registered

6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062

Madison County (618) 288-5711

MARK FEDDER, MD, PC

Internal Medicine (Gastroenterology)

6810 STATE ROUTE 162, SUITE 211
MARYVILLE, IL 62062

Madison County (618) 288-0346

JOSEPH HINES CRNA

Nurse Anesthetist, Certified Registered

6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062

Madison County (618) 288-5711

DR. JAMES JOSEPH DALLA RIVA M.D.

Obstetrics & Gynecology

6810 STATE ROUTE 162, SUITE 301
MARYVILLE, IL 62062

Madison County (618) 288-5699

MARK SILVEY CRNA

Nurse Anesthetist, Certified Registered

6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062

Madison County (618) 288-5711

FAIRVIEW HEIGHTS MEDICAL GROUP SC

Internal Medicine (Cardiovascular Disease)

6810 STATE ROUTE 162, SUITE 203
MARYVILLE, IL 62062

Madison County (618) 288-5076

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 Gabriel Cardenas's NPI number?

The NPI number for Gabriel Cardenas is 1043521719. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Where is Gabriel Cardenas located?

Gabriel Cardenas practices at 6810 State Route 162 Suite 20, Maryville, IL 62062. The listed phone number is (618) 288-2835.

What is Gabriel Cardenas's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Gabriel Cardenas enrolled in Medicare?

Yes. Gabriel Cardenas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gabriel Cardenas accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Gabriel Cardenas 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.

Is Gabriel Cardenas affiliated with any hospitals?

According to CMS data, Gabriel Cardenas is affiliated with Memorial Hospital and Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Gabriel Cardenas was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.