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HEATHER GARDINER
NPI 1104289073
Pediatrics in Bend, OR

Active since March 30, 2016PECOS Enrolled
2500 NE NEFF RD, BEND, OR 97701(541) 706-5811(541) 706-5867 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2020, May 9, 2019, Mar 30, 2016 (3 updates tracked since 2016).

About Heather Gardiner NPPES

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

HEATHER GARDINER (NPI 1104289073) is an individual pediatrics provider in Bend, Oregon, licensed in Oregon (MD192173) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1104289073
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameHEATHER GARDINER
Location Address2500 NE NEFF RDBend, OR 97701-6015
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 494-8211
Phone(541) 706-5811
Fax(541) 706-5867
Sole ProprietorNo
Enumeration DateMarch 30, 2016
Last NPPES UpdateSeptember 14, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2020
✔ NPI 1104289073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OR · MD192173
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2500 NE NEFF RD, Bend, OR 97701
Open in Google Maps ↗

Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (503) 494-8211

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Gardiner 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.

Medicare Billing Reassignment

Medicare enrollment records show Heather Gardiner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Charles Health System, Inc.
Same address
Rehabilitation Unit
2500 NE NEFF RD
Bend, OR 97701
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1710160445 (Oregon), NPI 1356389894 (Oregon)
  • 307 clinicians in this Medicare group
NPI 1154343150 (541) 382-4321

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97701 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
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.

ALANNA MOZENA MD
Internal Medicine
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-6892
JAQUELINE L CAMPAGNA PT
Physical Therapist
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 382-4321
ASHLEY MARIE TWYMAN MD
Hospitalist
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-6892
NICOLE KOSMIDER
Anesthesiology
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (888) 333-1095
SAMANTHA MULLIS NNP
Nurse Practitioner (Neonatal, Critical Care)
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 382-4321
JEAN M BROWN PA-C
Physician Assistant
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 388-1636
BENJAMIN BRUNO BARSOTTI MD
Pediatrics
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-6892
DR. NICHOLAS SONG BOEHLING M.D.
Radiology (Radiation Oncology)
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-5800

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 Heather Gardiner's NPI number?

The NPI number for Heather Gardiner is 1104289073. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Heather Gardiner located?

Heather Gardiner practices at 2500 NE Neff Rd, Bend, OR 97701. The listed phone number is (541) 706-5811.

What is Heather Gardiner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Heather Gardiner enrolled in Medicare?

Yes. Heather Gardiner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heather Gardiner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Gardiner reassigns Medicare benefits to St. Charles Health System, Inc. (Bend, OR). 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 Heather Gardiner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heather Gardiner was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.