MIRIAM CLARKE GARDNER
NPI 1124040340
Pediatrics in Iowa City, IA

Q: What is Miriam Gardner's NPI number?

The NPI number for Miriam Gardner is 1124040340. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Miriam Gardner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Miriam Gardner was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 24, 2006PECOS Enrolled

1360 N DODGE ST, IOWA CITY, IA 52245(319) 351-1448(319) 351-9367 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Miriam Clarke Gardner NPPES

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

MIRIAM CLARKE GARDNER (NPI 1124040340) is an individual pediatrics provider in Iowa City, Iowa, licensed in Iowa (33305) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Coralville.

NPPES Registry Identity

NPI1124040340

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMIRIAM CLARKE GARDNER

Location Address1360 N DODGE STIowa City, IA 52245-6104

Mailing Address200 Hawkins DrIowa City, IA 52242-1009

Phone(319) 351-1448

Fax(319) 351-9367

Sole ProprietorNo

Enumeration DateJuly 24, 2006

Last NPPES UpdateOctober 14, 2022

NPPES CertifiedOctober 14, 2022

✔ NPI 1124040340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IA · 33305

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.

1360 N DODGE ST, Iowa City, IA 52245

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Secondary Practice Location 1

Location 12593 Holiday RdCoralville, IA 52241-2781 · Phone (319) 339-1231 · Fax (319) 688-2930

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miriam Clarke Gardner 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 Miriam Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State University Of Iowa

0.2 mi

Family Medicine

1125 N DODGE ST
Iowa City, IA 52245

Reassigned Medicare billing, Iowa enrollment
2,190 clinicians in this Medicare group

NPI 1730554288 (319) 384-8822

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 52245 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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 12

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

MRS. JENNIFER M MAGSAMEN ARNP

Nurse Practitioner