THOMAS LEVIER GARDNER D.M.D
NPI 1063811644
Dentist - Orthodontics and Dentofacial Orthopedics in Springfield, MO

Active since August 19, 2014PECOS Enrolled
1246 E WALNUT LAWN ST, SPRINGFIELD, MO 65804(417) 719-7862 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2024, Aug 4, 2020, Sep 4, 2019 (3 updates tracked since 2019).

About Thomas Levier Gardner D.m.d NPPES

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

THOMAS LEVIER GARDNER D.M.D (NPI 1063811644) is an individual orthodontics and dentofacial orthopedics provider in Springfield, Missouri, licensed in Missouri (2014021043) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063811644
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameTHOMAS LEVIER GARDNERCredential: D.M.D
Location Address1246 E WALNUT LAWN STSpringfield, MO 65804-4202
Mailing Address1246 E Walnut Lawn StSpringfield, MO 65804-4202 · (417) 719-7862
Sole ProprietorYes
Enumeration DateAugust 19, 2014
Last NPPES UpdateDecember 5, 20243 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
NPI 1063811644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in MO · 2014021043 Licensed in FL · 23133
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1246 E WALNUT LAWN ST, Springfield, MO 65804

Secondary Practice Locations 2

Location 1716 W Mount Vernon StNixa, MO 65714-9682 · Phone (417) 719-7862
Location 2764 US Highway 60 ERepublic, MO 65738-1524 · Phone (417) 719-7862

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Thomas Levier Gardner D.m.d 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 65804 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
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 3

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

Physical Therapist
1246 E WALNUT LAWN ST
SPRINGFIELD, MO 65804
Dentist (Orthodontics and Dentofacial Orthopedics)
1246 E WALNUT LAWN ST
SPRINGFIELD, MO 65804
Orthotist
1246 E WALNUT LAWN ST
SPRINGFIELD, MO 65804

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 Thomas Gardner's NPI number?

The NPI number for Thomas Gardner is 1063811644. It was assigned to this individual provider in the NPPES registry on August 19, 2014.

Where is Thomas Gardner located?

Thomas Gardner practices at 1246 E Walnut Lawn St, Springfield, MO 65804. The listed phone number is (417) 719-7862.

What is Thomas Gardner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Thomas Gardner enrolled in Medicare?

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

What insurance does Thomas Gardner accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Thomas 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 Thomas Gardner was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.