JEFFREY PAUL GARDINER D.O.
NPI 1336465566
Ophthalmology in Provo, UT

Q: What is Jeffrey Gardiner's NPI number?

The NPI number for Jeffrey Gardiner is 1336465566. It was assigned to this individual provider in the NPPES registry on April 13, 2010.

Q: What is Jeffrey Gardiner's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Gardiner was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 13, 2010PECOS EnrolledAccepts Medicare Assignment

89.78/100

CMS Quality Rating

1055 N 300 W, SUITE 204, PROVO, UT 84604(801) 357-7373(801) 357-7217 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2020, Oct 17, 2016 (2 updates tracked since 2016).

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About Jeffrey Paul Gardiner D.o. NPPES

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

JEFFREY PAUL GARDINER D.O. (NPI 1336465566) is an individual ophthalmology provider in Provo, Utah, licensed in Ohio (34011221) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1336465566

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameJEFFREY PAUL GARDINERCredential: D.O.

Location Address1055 N 300 W, SUITE 204Provo, UT 84604-3344

Mailing Address1055 N 300 W, Suite 204Provo, UT 84604-3344 · (801) 357-7373 · Fax (801) 357-7217

Phone(801) 357-7373

Fax(801) 357-7217

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 13, 2010

Last NPPES UpdateJune 10, 20202 updates tracked since enumeration

NPPES CertifiedJune 10, 2020

✔ NPI 1336465566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in OH · 34011221

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1055 N 300 W, Provo, UT 84604

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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

Jeffrey Paul Gardiner 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 ID3173740677

PECOS Enrollment IDI20150709002420

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 13

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

348 services345 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

191 services184 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

186 services100 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

148 services90 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

110 services88 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

78 services55 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

31 services31 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

22 services20 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.

20 services20 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

17 services11 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

16 services12 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.

16 services16 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460001

Location1034 North 500 WestProvo, UT 84604 · Utah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

89.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.24

Promoting Interoperability

100

Improvement Activities

Cost

70.7

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.

UTAH SLEEP MEDICINE CENTER

Clinic/Center (Sleep Disorder Diagnostic)

1055 N 300 W, SUITE 402
PROVO, UT 84604

Utah County (801) 357-7878

JAMES THOMAS DANE MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1055 N 300 W, #110
PROVO, UT 84604

Utah County (801) 357-7081

DR. MAX FORD MCBRIDE PH.D.

Psychologist (Clinical)

1055 N 300 W, SUITE 414
PROVO, UT 84604

Utah County (801) 357-7757

INTERMOUNTAIN VEIN CENTER

Specialist

1055 N 300 W, #308
PROVO, UT 84604

Utah County (801) 379-6700

DR. PHILLIP LEE CHAFFIN JR. MD

Otolaryngology (Pediatric Otolaryngology)

1055 N 300 W, STE 401
PROVO, UT 84604

Utah County (801) 357-7499

GEORGE C GOURLEY, DO

Obstetrics & Gynecology (Gynecology)

1055 N 300 W, SUITE 305
PROVO, UT 84604

Utah County (801) 357-7190

CURTIS G THOMAS AUD

Audiologist

1055 N 300 W, STE 401
PROVO, UT 84604

Utah County (801) 357-7499

JENNY COY NP

Nurse Practitioner

1055 N 300 W, STE 401
PROVO, UT 84604

Utah County (801) 357-7499

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 Jeffrey Gardiner's NPI number?

The NPI number for Jeffrey Gardiner is 1336465566. It was assigned to this individual provider in the NPPES registry on April 13, 2010.

Where is Jeffrey Gardiner located?

Jeffrey Gardiner practices at 1055 N 300 W Suite 204, Provo, UT 84604. The listed phone number is (801) 357-7373.

What is Jeffrey Gardiner's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jeffrey Gardiner enrolled in Medicare?

Yes. Jeffrey Gardiner 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.

What insurance does Jeffrey Gardiner accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Molina Healthcare and 4 other insurers list Jeffrey Gardiner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jeffrey Gardiner affiliated with any hospitals?

According to CMS data, Jeffrey Gardiner is affiliated with Utah Valley Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Gardiner was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.