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DR. MICHAEL GARDNER D.O.
NPI 1336299122
Family Medicine in Suffolk, VA

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
1540 BREEZEPORT WAY STE 100, SUFFOLK, VA 23435(757) 538-7275(757) 335-7230 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2026, Feb 25, 2025, Apr 25, 2018 (3 updates tracked since 2018).

About Dr. Michael Gardner D.o. NPPES

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

DR. MICHAEL GARDNER D.O. (NPI 1336299122) is an individual family medicine provider in Suffolk, Virginia, licensed in Virginia (0102203325) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portsmouth, and is a graduate of Philadelphia College Of Osteopathic Medicine (2006).

NPPES Registry Identity

NPI1336299122
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL GARDNERCredential: D.O.
Location Address1540 BREEZEPORT WAY STE 100Suffolk, VA 23435-3752
Mailing Address1540 Breezeport Way Ste 100Suffolk, VA 23435-3752 · (757) 538-7275 · Fax (757) 335-7230
Phone(757) 538-7275
Fax(757) 335-7230
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2006
Enumeration DateJanuary 12, 2007
Last NPPES UpdateMarch 4, 20263 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1336299122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0102203325
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1540 BREEZEPORT WAY STE 100, Suffolk, VA 23435
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Secondary Practice Location 1

Location 1620 Jhn Paul Jns CirPortsmouth, VA 23708-2111 · Phone (757) 953-4545 · Fax (757) 953-5026

Other Identifiers 1

Medicaid1336299122VA

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. Michael Gardner D.o. 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 ID6800036005
PECOS Enrollment IDI20260506001621
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23435 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 4

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

MEAGHAN SUSANNE DEVENS FNP
Nurse Practitioner (Family)
1540 BREEZEPORT WAY STE 100
SUFFOLK, VA 23435
Suffolk City (757) 538-7275
FRANK HARRISON HUFFMAN MD
Family Medicine
1540 BREEZEPORT WAY STE 100
SUFFOLK, VA 23435
Suffolk City (757) 538-7275
THARINI GUNAPALAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1540 BREEZEPORT WAY STE 100
SUFFOLK, VA 23435
Suffolk City (757) 963-1488
ROSALYN DENAYE GARRETT FNP
Nurse Practitioner (Family)
1540 BREEZEPORT WAY STE 100
SUFFOLK, VA 23435
Suffolk City (757) 744-9044

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 Michael Gardner's NPI number?

The NPI number for Michael Gardner is 1336299122. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Michael Gardner located?

Michael Gardner practices at 1540 Breezeport Way Ste 100, Suffolk, VA 23435. The listed phone number is (757) 538-7275.

What is Michael Gardner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Gardner enrolled in Medicare?

Yes. Michael Gardner 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.

When was this NPI record last updated?

The NPPES record for Michael Gardner was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.