GARTH B TANNER MD
NPI 1184612624
Internal Medicine in Modesto, CA

Q: What is Garth Tanner's NPI number?

The NPI number for Garth Tanner is 1184612624. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Q: What is Garth Tanner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Garth Tanner was last updated on July 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 October 10, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 05D1079985 · Waiver

1429 COLLEGE AVE, STE K, MODESTO, CA 95350(209) 521-7800(209) 521-5733 Get Directions Write a Review

NPPES record last updated: July 12, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Garth B Tanner Md NPPES

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

GARTH B TANNER MD (NPI 1184612624) is an individual internal medicine provider in Modesto, California, licensed in California (A64407) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 10, 2028, and is a graduate of Loma Linda University School Of Medicine (1996).

NPPES Registry Identity

NPI1184612624

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameGARTH B TANNERCredential: MD

Location Address1429 COLLEGE AVE, STE KModesto, CA 95350-4057

Mailing AddressPo Box 3812Modesto, CA 95352-3812 · (209) 521-7800 · Fax (209) 521-1329

Phone(209) 521-7800

Fax(209) 521-5733

Sole ProprietorYes

Medical School CMSLoma Linda University School Of MedicineGraduated 1996

Enumeration DateOctober 10, 2005

Last NPPES UpdateJuly 12, 2012

✔ NPI 1184612624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A64407

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1429 COLLEGE AVE, Modesto, CA 95350

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Other Identifiers 3

Medicare PIN00A644070CA

Medicare UPINH05811CA

Medicaid00A644070CA

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

Garth B Tanner 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 ID8729092465

PECOS Enrollment IDI20071204000366

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1079985

Garth Tanner MD · Modesto, CA

Active · expires Feb 10, 2028

CLIA Number05D1079985

Laboratory TypePhysician Office

Certificate Effective DateFebruary 11, 2026

Certificate Expiration DateFebruary 10, 2028

Laboratory DirectorGarth Tanner

Laboratory Phone(209) 521-7800

Laboratory LocationGarth Tanner MD1429 College Ave # K, Modesto, CA 95350

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 14

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

631 services265 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

100 services79 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

91 services91 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

62 services33 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

49 services46 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

46 services45 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

46 services45 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

38 services34 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

36 services21 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

32 services32 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

29 services26 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

24 services12 patients

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report G0403

An Electrocardiogram (ECG) with 12 leads is a non-invasive test that measures the electrical activity of your heart. It's performed during your initial physical examination to screen for heart conditions. The results are interpreted and compiled into a report for further evaluation.

19 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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 3

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

11 suppliers33 claims76 services$6.11 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers18 claims22 services$1.02 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$178.72 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 12

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

DR. JOHN R JEPPSON D.D.S.

Dentist (General Practice)

1429 COLLEGE AVE, SUITE G
MODESTO, CA 95350

Stanislaus County (209) 526-0344

SURENDRA PRASAD BALGOBIND D.D.S

Dentist

1429 COLLEGE AVE
MODESTO, CA 95350

Stanislaus County (209) 527-5115

VAUGHN EDWARD NORDES D.D.S.

Dentist (General Practice)

1429 COLLEGE AVE, STE F
MODESTO, CA 95350

Stanislaus County (209) 529-1150

XIAOYING GAO CERT #73644

Massage Therapist

1429 COLLEGE AVE, SUITE L
MODESTO, CA 95350

Stanislaus County (916) 913-6766

RICHARD A. CERCLE M.D.

Internal Medicine (Gastroenterology)

1429 COLLEGE AVE, #B
MODESTO, CA 95350

Stanislaus County (209) 526-8038

DR. MYRON ROLAND STRASSER JR. DDS

Dentist (Oral and Maxillofacial Surgery)

1429 COLLEGE AVE, SUITE J
MODESTO, CA 95350

Stanislaus County (209) 529-8872

DR. KANWAL KHANNA M.D.

Internal Medicine (Rheumatology)

1429 COLLEGE AVE, SUITE M
MODESTO, CA 95350

Stanislaus County (209) 524-2041

KANWAL KHANNA, M.D., INC.

Internal Medicine (Rheumatology)

1429 COLLEGE AVE, SUITE M
MODESTO, CA 95350

Stanislaus County (209) 524-2041

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 Garth Tanner's NPI number?

The NPI number for Garth Tanner is 1184612624. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Garth Tanner located?

Garth Tanner practices at 1429 College Ave Ste K, Modesto, CA 95350. The listed phone number is (209) 521-7800.

What is Garth Tanner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Garth Tanner enrolled in Medicare?

Yes. Garth Tanner 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.

Does Garth Tanner hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1079985) is associated with this NPI, valid through February 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Garth Tanner was last updated on July 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.