DEAN GARDNER
NPI 1124415229
Nurse Practitioner - Family in Pulaski, NY

Q: What is Dean Gardner's NPI number?

The NPI number for Dean Gardner is 1124415229. It was assigned to this individual provider in the NPPES registry on April 16, 2015.

Q: What is Dean Gardner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Dean Gardner was last updated on January 20, 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 April 16, 2015PECOS EnrolledAccepts Medicare Assignment

61 DELANO ST, PULASKI, NY 13142(315) 298-6564(315) 298-7488 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2022, Dec 11, 2019 (2 updates tracked since 2019).

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About Dean Gardner NPPES

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

DEAN GARDNER (NPI 1124415229) is an individual family provider in Pulaski, New York, licensed in New York (F344984) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Oswego Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124415229

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDEAN GARDNER

Location Address61 DELANO STPulaski, NY 13142-1400

Mailing Address61 Delano StPulaski, NY 13142-1400 · (315) 298-6564 · Fax (315) 298-7488

Phone(315) 298-6564

Fax(315) 298-7488

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 16, 2015

Last NPPES UpdateJanuary 20, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2022

✔ NPI 1124415229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F344984

Also ListedPhysical TherapistTaxonomy 225100000X · License 023498 (NY)

61 DELANO ST, Pulaski, NY 13142

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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

Dean Gardner 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 ID345560017

PECOS Enrollment IDI20191028000794

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

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

27 services13 patients

Hospital Affiliations CMS Care Compare

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

Oswego Hospital

Acute Care Hospitals · Oswego, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330218

Location110 West Sixth StreetOswego, NY 13126 · Oswego County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13142 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers20 claims41 services$2.09 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$4.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CAITLIN TAYLOR CORRICE PT

Physical Therapist (Orthopedic)