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DR. GERARD ARDOIN MD
NPI 1073000550
Psychiatry & Neurology - Psychiatry in New York, NY

Active since April 19, 2018PECOS EnrolledAccepts Medicare Assignment
10 NATHAN D PERLMAN PL, NEW YORK, NY 10003(212) 420-2000(212) 420-3442 Get Directions Write a Review

NPPES record last updated: June 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2023, May 15, 2023, Apr 3, 2023 and 2 more (5 updates tracked since 2018).

About Dr. Gerard Ardoin Md NPPES

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

DR. GERARD ARDOIN MD (NPI 1073000550) is an individual psychiatry provider in New York, New York, licensed in New York (316009) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sarasota, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073000550
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. GERARD ARDOINCredential: MD
Location Address10 NATHAN D PERLMAN PLNew York, NY 10003-3841
Mailing Address10 Nathan D Perlman Pl Fl 7New York, NY 10003-3841 · (212) 420-2000 · Fax (212) 420-3442
Phone(212) 420-2000
Fax(212) 420-3442
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 19, 2018
Last NPPES UpdateJune 11, 20235 updates tracked since enumeration
NPPES CertifiedJune 11, 2023
✔ NPI 1073000550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in NY · 316009✔ Licensed in FL · ME162429
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10 NATHAN D PERLMAN PL, New York, NY 10003
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Secondary Practice Location 1

Location 11650 S Osprey AveSarasota, FL 34239-2928 · Phone (941) 917-7760 · Fax (941) 917-8805

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Florida Blue (BlueCross BlueShield FL) and more.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. Gerard Ardoin Md 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 ID2769856467
PECOS Enrollment IDI20230616001369
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
216 services77 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
120 services52 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
50 services50 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
47 services47 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 20

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

MICHAEL CRAIG ROTHMAN PH.D
Psychologist (Clinical)
10 NATHAN D PERLMAN PL, 2 BERNSTEIN PAV
NEW YORK, NY 10003
New York County (212) 420-2400
NIKKI BHOGAL
Pharmacist
10 NATHAN D PERLMAN PL
NEW YORK, NY 10003
New York County (212) 844-5480
CARLY BAETZ JD, PHD
Psychologist (Clinical)
10 NATHAN D PERLMAN PL
NEW YORK, NY 10003
New York County (917) 409-8989
NAYAN PATEL
Emergency Medicine
10 NATHAN D PERLMAN PL
NEW YORK, NY 10003
New York County (212) 420-2000
MOUNT SINAI BETH ISRAEL
General Acute Care Hospital
10 NATHAN D PERLMAN PL, 3S21B
NEW YORK, NY 10003
New York County (212) 420-3969
DAHLIA RIZK DO
Hospitalist
10 NATHAN D PERLMAN PL, 16TH ST AT 1ST AVENUE
NEW YORK, NY 10003
New York County (212) 844-1808
ELIAS ER-NY WAN
Emergency Medicine
10 NATHAN D PERLMAN PL
NEW YORK, NY 10003
New York County (908) 938-3363
BIMC DEPT OF NEPHROLOGY
Internal Medicine (Nephrology)
10 NATHAN D PERLMAN PL, 16TH STREET AT 1ST AVENUE
NEW YORK, NY 10003
New York County (212) 420-2000

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 Gerard Ardoin's NPI number?

The NPI number for Gerard Ardoin is 1073000550. It was assigned to this individual provider in the NPPES registry on April 19, 2018.

Where is Gerard Ardoin located?

Gerard Ardoin practices at 10 Nathan D Perlman Pl, New York, NY 10003. The listed phone number is (212) 420-2000.

What is Gerard Ardoin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Gerard Ardoin enrolled in Medicare?

Yes. Gerard Ardoin 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 Gerard Ardoin accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Gerard Ardoin 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 Gerard Ardoin was last updated on June 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.