THOMAS A GARDNER MD
NPI 1376538066
Urology in Indianapolis, IN

Q: What is Thomas Gardner's NPI number?

The NPI number for Thomas Gardner is 1376538066. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Q: What is Thomas Gardner's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Gardner was last updated on March 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment

535 BARNHILL DR, RT 420, INDIANAPOLIS, IN 46202(317) 278-3434(317) 274-0174 Get Directions Write a Review

NPPES record last updated: March 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 8, 2025, Jan 20, 2021 (2 updates tracked since 2021).

On this page

About Thomas A Gardner Md NPPES

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

THOMAS A GARDNER MD (NPI 1376538066) is an individual urology provider in Indianapolis, Indiana, licensed in Indiana (01051214A) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1376538066

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameTHOMAS A GARDNERCredential: MD

Location Address535 BARNHILL DR, RT 420Indianapolis, IN 46202-5112

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(317) 278-3434

Fax(317) 274-0174

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateSeptember 19, 2005

Last NPPES UpdateMarch 8, 20252 updates tracked since enumeration

NPPES CertifiedMarch 8, 2025

✔ NPI 1376538066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in IN · 01051214A

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

535 BARNHILL DR, Indianapolis, IN 46202

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Other Identifiers 2

Medicaid200241600IN

Other000000109044IN · Anthem Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Thomas A Gardner Md 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 ID2769507136

PECOS Enrollment IDI20100909000442

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 14

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 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.

254 services187 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.

198 services147 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

138 services115 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

117 services100 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

63 services51 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

47 services36 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

40 services34 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

33 services26 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

31 services31 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

24 services23 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

18 services18 patients

Destruction of prostate using imaging guidance 55873

This is a non-invasive procedure where doctors use images to accurately target and treat problematic areas in the prostate. It's done with precision to minimize impact on surrounding healthy tissue. The aim is to alleviate symptoms and improve quality of life.

17 services16 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

14 services14 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150051

Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County

Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150089

Location2401 University AveMuncie, IN 47303 · Delaware County

Emergency services Birthing friendly

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150112

Location2400 E 17th StColumbus, IN 47201 · Bartholomew County

Emergency services Birthing friendly

Indiana University Health North Hospital

Acute Care Hospitals · Carmel, IN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150161

Location11700 N Meridian StCarmel, IN 46032 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

3 suppliers47 claims10,728 services$0.10 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

8 suppliers111 claims26,368 services$1.49 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

6 suppliers32 claims8,360 services$5.18 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

10 suppliers60 claims170 services$8.79 avg. paid by Medicare

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

3 suppliers17 claims560 services$2.84 avg. paid by Medicare

Ostomy belt, each A4367

DME-Orthotic Devices · category DF010N

4 suppliers19 claims30 services$7.02 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.

DR. ANTON ALEXI CABELLON D.O.

Internal Medicine (Nephrology)

535 BARNHILL DR, RT 150
INDIANAPOLIS, IN 46202

Marion County (317) 948-0728

LINDA BATTIATO

Registered Nurse

535 BARNHILL DR
INDIANAPOLIS, IN 46202

Marion County (317) 278-6489

CHRISTIAN JON NELSON PHD

Psychologist (Clinical)

535 BARNHILL DR
INDIANAPOLIS, IN 46202

Marion County (317) 948-2538

AMANJOT SINGH SETHI M.D.

Specialist

535 BARNHILL DR, SUITE 420
INDIANAPOLIS, IN 46202

Marion County (317) 278-1979

DR. ANITA AHMED TURK M.D.

Internal Medicine (Hematology & Oncology)

535 BARNHILL DR
INDIANAPOLIS, IN 46202

Marion County (317) 274-0335

JENNIFER MARIE KING MD

Internal Medicine (Hematology & Oncology)

535 BARNHILL DR
INDIANAPOLIS, IN 46202

Marion County (317) 944-0920

NANCY CAROL ISSA MD

Internal Medicine (Hematology & Oncology)

535 BARNHILL DR
INDIANAPOLIS, IN 46202

Marion County (317) 948-6942

BETH A KIRSCH RDN, CSO, LD

Dietitian, Registered (Nutrition, Oncology)

535 BARNHILL DR
INDIANAPOLIS, IN 46202

Marion County (317) 440-6242

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 Thomas Gardner's NPI number?

The NPI number for Thomas Gardner is 1376538066. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Thomas Gardner located?

Thomas Gardner practices at 535 Barnhill Dr Rt 420, Indianapolis, IN 46202. The listed phone number is (317) 278-3434.

What is Thomas Gardner's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Thomas Gardner enrolled in Medicare?

Yes. Thomas 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 Thomas Gardner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Thomas 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.

Is Thomas Gardner affiliated with any hospitals?

According to CMS data, Thomas Gardner is affiliated with Indiana University Health Bloomington Hospital, Indiana University Health, Indiana University Health Ball Memorial Hospital, Columbus Regional Hospital and Indiana University Health North Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Gardner was last updated on March 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.