DR. MARK H GARDENSWARTZ M.D.
NPI 1326063215
Internal Medicine - Nephrology in New York, NY

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
110 E 59TH ST, NEW YORK, NY 10022(212) 583-2930 Get Directions Write a Review

NPPES record last updated: September 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark H Gardenswartz M.d. NPPES

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

DR. MARK H GARDENSWARTZ M.D. (NPI 1326063215) is an individual nephrology provider in New York, New York, licensed in New York (128389) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and is a graduate of University Of Colorado School Of Medicine, Denver (1975).

NPPES Registry Identity

NPI1326063215
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MARK H GARDENSWARTZCredential: M.D.
Location Address110 E 59TH STNew York, NY 10022-1304
Mailing Address110 E 59th StNew York, NY 10022-1304 · (212) 583-2930
Sole ProprietorYes
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1975
Enumeration DateJuly 13, 2006
Last NPPES UpdateSeptember 16, 2007
NPI 1326063215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in NY · 128389
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
110 E 59TH ST, New York, NY 10022

Other Identifiers 2

Medicare UPINB11240NY
Medicare PINWES211NY

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

Dr. Mark H Gardenswartz M.d. 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 ID7618884511
PECOS Enrollment IDI20040715000594
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 12

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
901 services310 patients
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.
879 services284 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
356 services99 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.
120 services96 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.
105 services92 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
88 services64 patients

Hospital Affiliations CMS Care Compare 2

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

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330261
Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers53 claims4,560 services$0.31 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
8 suppliers49 claims49 services$17.78 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers16 claims17 services$11.16 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.

Specialist
110 E 59TH ST, SUITES 8C AND 10A
NEW YORK, NY 10022
Internal Medicine (Gastroenterology)
110 E 59TH ST, SUITE 9D
NEW YORK, NY 10022
Audiologist
110 E 59TH ST
NEW YORK, NY 10022
Internal Medicine
110 E 59TH ST, SUITE 9A
NEW YORK, NY 10022
Internal Medicine (Cardiovascular Disease)
110 E 59TH ST, SUITE8A
NEW YORK, NY 10022
Specialist
110 E 59TH ST, 9 FLOOR
NEW YORK, NY 10022
Internal Medicine
110 E 59TH ST, SUITE 9A
NEW YORK, NY 10022
Internal Medicine
110 E 59TH ST, SUITE 9A
NEW YORK, NY 10022

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 Mark Gardenswartz's NPI number?

The NPI number for Mark Gardenswartz is 1326063215. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Mark Gardenswartz located?

Mark Gardenswartz practices at 110 E 59th St, New York, NY 10022. The listed phone number is (212) 583-2930.

What is Mark Gardenswartz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mark Gardenswartz enrolled in Medicare?

Yes. Mark Gardenswartz 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.

Is Mark Gardenswartz affiliated with any hospitals?

According to CMS data, Mark Gardenswartz is affiliated with Lenox Hill Hospital and Phelps Hospital.

When was this NPI record last updated?

The NPPES record for Mark Gardenswartz was last updated on September 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.