KELLY ROBERT GARDNER M.D.
NPI 1255319463
Radiology - Vascular & Interventional Radiology in Las Vegas, NV

Active since January 06, 2006PECOS Enrolled
94.67/100
CMS Quality Rating
3061 S MARYLAND PKWY, SUITE 102, LAS VEGAS, NV 89109(702) 731-2888(702) 696-9289 Get Directions Write a Review

NPPES record last updated: December 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Robert Gardner M.d. NPPES

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

KELLY ROBERT GARDNER M.D. (NPI 1255319463) is an individual vascular & interventional radiology provider in Las Vegas, Nevada, licensed in Nevada (6324) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Sunrise Hospital And Medical Center, and is a graduate of Tulane University School Of Medicine (1985).

NPPES Registry Identity

NPI1255319463
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameKELLY ROBERT GARDNERCredential: M.D.
Location Address3061 S MARYLAND PKWY, SUITE 102Las Vegas, NV 89109-2298
Mailing Address1 Independence Pt Ste 202Greenville, SC 29615-4536 · (877) 406-2916
Fax(702) 696-9289
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1985
Enumeration DateJanuary 6, 2006
Last NPPES UpdateDecember 28, 2012
NPI 1255319463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in NV · 6324
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
3061 S MARYLAND PKWY, Las Vegas, NV 89109

Other Identifiers 5

Medicaid200290213NV
Medicare PIN30WCCBF1QNV
Medicare UPINE84941
OtherNV1309NV · Blue
Medicare UPIN300061559NV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Robert Gardner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759306962
PECOS Enrollment IDI20051006000873
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 37

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
967 services879 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
110 services110 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
105 services104 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
103 services95 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
101 services101 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
85 services84 patients

Hospital Affiliations CMS Care Compare 2

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

Sunrise Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290003
Location3186 S Maryland PkwyLas Vegas, NV 89109 · Clark County
Emergency services

Mountainview Hospital

Acute Care Hospitals · Las Vegas, NV
4/5 CMS rating
OwnershipProprietary
CMS Certification Number290039
Location3100 N Tenaya WayLas Vegas, NV 89128 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89109 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.14
Improvement Activities40

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
3061 S MARYLAND PKWY, SUITE 202
LAS VEGAS, NV 89109
Radiology (Diagnostic Radiology)
3061 S MARYLAND PKWY, SUITE 102
LAS VEGAS, NV 89109
Radiology (Diagnostic Radiology)
3061 S MARYLAND PKWY, SUITE 102
LAS VEGAS, NV 89109
Nurse Practitioner (Pediatrics)
3061 S MARYLAND PKWY, #101
LAS VEGAS, NV 89109
Pediatrics
3061 S MARYLAND PKWY, SUITE 101
LAS VEGAS, NV 89109
Physician Assistant (Surgical)
3061 S MARYLAND PKWY, SUITE 200
LAS VEGAS, NV 89109
Respiratory Therapist, Registered
3061 S MARYLAND PKWY
LAS VEGAS, NV 89109
Radiology (Vascular & Interventional Radiology)
3061 S MARYLAND PKWY, SUITE 102
LAS VEGAS, NV 89109

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 Kelly Gardner's NPI number?

The NPI number for Kelly Gardner is 1255319463. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Kelly Gardner located?

Kelly Gardner practices at 3061 S Maryland Pkwy Suite 102, Las Vegas, NV 89109. The listed phone number is (702) 731-2888.

What is Kelly Gardner's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Kelly Gardner enrolled in Medicare?

Yes. Kelly Gardner is registered in the Medicare PECOS enrollment system.

Is Kelly Gardner affiliated with any hospitals?

According to CMS data, Kelly Gardner is affiliated with Sunrise Hospital And Medical Center and Mountainview Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Gardner was last updated on December 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.