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DR. DUSTIN J GARDNER O.D.
NPI 1366720922
Optometrist in Marysville, OH

Active since August 01, 2011PECOS EnrolledAccepts Medicare Assignment
105 MOREY DR, MARYSVILLE, OH 43040(937) 642-1916 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dustin J Gardner O.d. NPPES

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

DR. DUSTIN J GARDNER O.D. (NPI 1366720922) is an individual optometrist in Marysville, Ohio, licensed in Ohio (6041) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2011).

NPPES Registry Identity

NPI1366720922
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DUSTIN J GARDNERCredential: O.D.
Location Address105 MOREY DRMarysville, OH 43040-1647
Mailing Address15933 Clayton Rd, Suite 201Ballwin, MO 63011-2172 · (636) 200-4393 · Fax (636) 527-0766
Phone(937) 642-1916
Sole ProprietorYes
Medical School CMSOhio State University - College Of OptometryGraduated 2011
Enumeration DateAugust 1, 2011
Last NPPES UpdateOctober 4, 2016
✔ NPI 1366720922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · 6041
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
105 MOREY DR, Marysville, OH 43040
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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

Dr. Dustin J Gardner O.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 ID8123290285
PECOS Enrollment IDI20111013000577
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 6

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.
127 services110 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.
80 services64 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 services19 patients
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.
19 services18 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
17 services16 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.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43040 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

DR. DANIEL J. NIEDERKOHR O.D.
Optometrist
105 MOREY DR
MARYSVILLE, OH 43040
Union County (937) 642-1916
KARINA DESAI LANNING O.D.
Optometrist
105 MOREY DR
MARYSVILLE, OH 43040
Union County (937) 642-2002
DANIEL J NIEDERKOHR OD INC
Eyewear Supplier
105 MOREY DR
MARYSVILLE, OH 43040
Union County (937) 642-1916
DR. LAUREN RENEE EDER OD
Optometrist
105 MOREY DR
MARYSVILLE, OH 43040
Union County (937) 642-2002

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 Dustin Gardner's NPI number?

The NPI number for Dustin Gardner is 1366720922. It was assigned to this individual provider in the NPPES registry on August 1, 2011.

Where is Dustin Gardner located?

Dustin Gardner practices at 105 Morey Dr, Marysville, OH 43040. The listed phone number is (937) 642-1916.

What is Dustin Gardner's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Dustin Gardner enrolled in Medicare?

Yes. Dustin 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.

What insurance does Dustin Gardner 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, CareSource and Providence Health Plan list Dustin Gardner 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.

When was this NPI record last updated?

The NPPES record for Dustin Gardner was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.