TYRELL LANCELOT GARDNER MD
NPI 1083105050
Radiology - Vascular & Interventional Radiology in Newport News, VA

Active since May 24, 2018PECOS EnrolledAccepts Medicare Assignment
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601(757) 594-2000 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2024, May 24, 2018 (2 updates tracked since 2018).

About Tyrell Lancelot Gardner Md NPPES

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

TYRELL LANCELOT GARDNER MD (NPI 1083105050) is an individual vascular & interventional radiology provider in Newport News, Virginia, licensed in Virginia (0101267751) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Riverside Shore Memorial Hospital, and is a graduate of Eastern Virginia Medical School (2018).

NPPES Registry Identity

NPI1083105050
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameTYRELL LANCELOT GARDNERCredential: MD
Location Address500 J CLYDE MORRIS BLVDNewport News, VA 23601-1929
Mailing Address500 J Clyde Morris BlvdNewport News, VA 23601-1929 · (757) 594-2000
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2018
Enumeration DateMay 24, 2018
Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
NPI 1083105050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in VA · 0101267751
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
500 J CLYDE MORRIS BLVD, Newport News, VA 23601

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

Tyrell Lancelot Gardner 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 ID9830447937
PECOS Enrollment IDI20240909002246
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 29

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
144 services139 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
95 services95 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
79 services78 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
52 services38 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
50 services50 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
50 services47 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Shore Memorial Hospital

Acute Care Hospitals · Onancock, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490037
Location20480 Market StreetOnancock, VA 23417 · Accomack County
Emergency services Birthing friendly

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490130
Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County
Emergency services

Riverside Doctors' Hospital Of Williamsburg

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490143
Location1500 Commonwealth AvenueWilliamsburg, VA 23185 · James City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23601 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Nurse Anesthetist, Certified Registered
500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601
Genetic Counselor, MS
500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601
Anesthesiology
500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601
Radiology (Diagnostic Radiology)
500 J CLYDE MORRIS BLVD, RIVERSIDE REGIONAL MEDICAL CENTER
NEWPORT NEWS, VA 23601
Student in an Organized Health Care Education/Training Program
500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 J CLYDE MORRIS BLVD, SUITE 602
NEWPORT NEWS, VA 23601
Pediatrics (Neonatal-Perinatal Medicine)
500 J CLYDE MORRIS BLVD, HAMPTON ROADS NEONATOLOGY
NEWPORT NEWS, VA 23601
Nurse Anesthetist, Certified Registered
500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601

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 Tyrell Gardner's NPI number?

The NPI number for Tyrell Gardner is 1083105050. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Where is Tyrell Gardner located?

Tyrell Gardner practices at 500 J Clyde Morris Blvd, Newport News, VA 23601. The listed phone number is (757) 594-2000.

What is Tyrell Gardner's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Tyrell Gardner enrolled in Medicare?

Yes. Tyrell 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.

Is Tyrell Gardner affiliated with any hospitals?

According to CMS data, Tyrell Gardner is affiliated with Riverside Shore Memorial Hospital, Riverside Regional Medical Center, Sentara Williamsburg Regional Medical Center, Riverside Walter Reed Hospital and Riverside Doctors' Hospital Of Williamsburg.

When was this NPI record last updated?

The NPPES record for Tyrell Gardner was last updated on July 30, 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.