SARA KATHRYN GARDINER MD
NPI 1104972926
Psychiatry & Neurology - Psychiatry in Portland, OR

Active since January 26, 2007Opted out of Medicare · through Aug 26, 2026
1318 NW 20TH AVE, SUITE A, PORTLAND, OR 97209(503) 869-0428(503) 227-8058 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sara Kathryn Gardiner Md NPPES

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

SARA KATHRYN GARDINER MD (NPI 1104972926) is an individual psychiatry provider in Portland, Oregon, licensed in Oregon (MD25527) and active in the NPI registry since January 2007. She has opted out of Medicare through August 26, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104972926
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSARA KATHRYN GARDINERCredential: MD
Location Address1318 NW 20TH AVE, SUITE APortland, OR 97209-1671
Mailing Address1318 Nw 20th Ave, Suite APortland, OR 97209-1671 · (503) 869-0428 · Fax (503) 227-8058
Fax(503) 227-8058
Sole ProprietorYes
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1104972926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in OR · MD25527 Licensed in CA · A66614
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.

1318 NW 20TH AVE, Portland, OR 97209

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Sara Kathryn Gardiner Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 26, 2016 through August 26, 2026.

Opt-Out Effective DateAugust 26, 2016
Opt-Out In Effect ThroughAugust 26, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97209 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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 5

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

Chiropractor
1318 NW 20TH AVE, STE 5A
PORTLAND, OR 97209
Psychiatry & Neurology (Psychiatry)
1318 NW 20TH AVE, SUITE A
PORTLAND, OR 97209
Psychiatry & Neurology (Psychiatry)
1318 NW 20TH AVE, SUITE A
PORTLAND, OR 97209
Counselor (Mental Health)
1318 NW 20TH AVE, SUITE A2
PORTLAND, OR 97209
Massage Therapist
1318 NW 20TH AVE
PORTLAND, OR 97209

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 Sara Gardiner's NPI number?

The NPI number for Sara Gardiner is 1104972926. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Sara Gardiner located?

Sara Gardiner practices at 1318 NW 20th Ave Suite A, Portland, OR 97209. The listed phone number is (503) 869-0428.

What is Sara Gardiner's specialty?

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

Is Sara Gardiner enrolled in Medicare?

No. Sara Gardiner has opted out of Medicare through August 26, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sara Gardiner was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.