DR. COLE DELWORTH GARDNER DPM
NPI 1063090561
Podiatrist - Foot & Ankle Surgery in Montgomery, OH

Q: What is Cole Gardner's NPI number?

The NPI number for Cole Gardner is 1063090561. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Q: What is Cole Gardner'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 Cole Gardner was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 29, 2021PECOS EnrolledAccepts Medicare Assignment

10500 MONTGOMERY RD, MONTGOMERY, OH 45242(513) 865-1111 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 18, 2024, Mar 29, 2021 (2 updates tracked since 2021).

On this page

About Dr. Cole Delworth Gardner Dpm NPPES

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

DR. COLE DELWORTH GARDNER DPM (NPI 1063090561) is an individual foot & ankle surgery provider in Montgomery, Ohio, licensed in Utah (13689443-0501) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Roy, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1063090561

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. COLE DELWORTH GARDNERCredential: DPM

Location Address10500 MONTGOMERY RDMontgomery, OH 45242-4402

Mailing Address1846 N 350 ECenterville, UT 84014-3117 · (385) 335-1183

Phone(513) 865-1111

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 29, 2021

Last NPPES UpdateApril 18, 20242 updates tracked since enumeration

NPPES CertifiedApril 18, 2024

✔ NPI 1063090561 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

License✔ Licensed in UT · 13689443-0501

10500 MONTGOMERY RD, Montgomery, OH 45242

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Secondary Practice Location 1

Location 13443 W 5600 SRoy, UT 84067-9103 · Phone (801) 773-4840 · Fax (801) 525-8151

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Cole Delworth Gardner Dpm 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 ID2769824721

PECOS Enrollment IDI20240522004255

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 Cole Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tanner Memorial Clinic

1,458 mi

Primary Care

444 W BOURNE CIR
Farmington, UT 84025

Reassigned Medicare billing, Utah enrollment
270 clinicians in this Medicare group

NPI 1447845730 (801) 773-4840

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

Areas of Expertise CMS Part B claims 4

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.

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.

58 services35 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.

29 services29 patients

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.

27 services23 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

15 services12 patients

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.

DRAKE A SECCURRO MD

Hospitalist

10500 MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 865-2246

GREGORIO MICELI DPM

Student in an Organized Health Care Education/Training Program

10500 MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 865-1111

BENJAMIN BETHAY

Student in an Organized Health Care Education/Training Program

10500 MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 865-1111

SMITH BEARELLY MD

Hospitalist

10500 MONTGOMERY RD
CINCINNATI, OH 45242

Hamilton County (513) 865-2246

VICTOR KOMLA DOE

Pharmacist

10500 MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 865-1184

REGENCY HOSPITAL OF CINCINNATI, LLC

Internal Medicine

10500 MONTGOMERY RD
CINCINNATI, OH 45242

Hamilton County (717) 972-1100

SYED SHAD MAHMOOD

Internal Medicine (Critical Care Medicine)

10500 MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 865-2246

DAVID A. FENWICK P.A.-C

Physician Assistant

10500 MONTGOMERY RD
CINCINNATI, OH 45242

Hamilton County (514) 865-1111

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 Cole Gardner's NPI number?

The NPI number for Cole Gardner is 1063090561. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Cole Gardner located?

Cole Gardner practices at 10500 Montgomery Rd, Montgomery, OH 45242. The listed phone number is (513) 865-1111.

What is Cole Gardner's specialty?

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

Is Cole Gardner enrolled in Medicare?

Yes. Cole Gardner 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.

Which organization bills Medicare for Cole Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cole Gardner reassigns Medicare benefits to Tanner Memorial Clinic (Farmington, 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 Cole Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cole Gardner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and BridgeSpan Health Company and 4 other insurers list Cole 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 Cole Gardner was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.