JAMES GARDNER MD
NPI 1386676088
Surgery - Plastic and Reconstructive Surgery in Summit, NJ

Q: What is James Gardner's NPI number?

The NPI number for James Gardner is 1386676088. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is James Gardner's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for James Gardner was last updated on September 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 July 06, 2006PECOS EnrolledAccepts Medicare Assignment

33 OVERLOOK RD, SUITE 310, SUMMIT, NJ 07901(908) 918-1969(908) 918-1995 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About James Gardner Md NPPES

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

JAMES GARDNER MD (NPI 1386676088) is an individual plastic and reconstructive surgery provider in Summit, New Jersey, licensed in New Jersey (25MA05373600) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Overlook Medical Center, and is a graduate of Rutgers New Jersey Medical School (1987).

NPPES Registry Identity

NPI1386676088

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameJAMES GARDNERCredential: MD

Location Address33 OVERLOOK RD, SUITE 310Summit, NJ 07901-3563

Mailing AddressPo Box 416457Boston, MA 02241-6457

Phone(908) 918-1969

Fax(908) 918-1995

Sole ProprietorYes

Medical School CMSRutgers New Jersey Medical SchoolGraduated 1987

Enumeration DateJuly 6, 2006

Last NPPES UpdateSeptember 30, 2016

✔ NPI 1386676088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in NJ · 25MA05373600

Definition

A surgeon who specializes in plastic and reconstructive surgery.

33 OVERLOOK RD, Summit, NJ 07901

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Other Identifiers 1

Other764314NJ · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James 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 ID7315926201

PECOS Enrollment IDI20040715000055

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.

Medicare Billing Reassignment

Medicare enrollment records show James Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Practice Associates Medical Group

7.9 mi

Internal Medicine

100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960

Reassigned Medicare billing, New Jersey enrollment
1,699 clinicians in this Medicare group

NPI 1427016385 (844) 264-2250

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

26 services20 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.

16 services13 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

15 services15 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.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Overlook Medical Center

Acute Care Hospitals · Summit, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310051

Location99 Beauvoir AvenueSummit, NJ 07901 · Union County

Emergency services Birthing friendly

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.

ALPHA BEHAVIORAL CARE PA

Psychiatry & Neurology (Psychiatry)

33 OVERLOOK RD, SUITE 210
SUMMIT, NJ 07901

Union County (908) 273-0800

ELFIE WEGNER RN P

Nurse Practitioner

33 OVERLOOK RD
SUMMIT, NJ 07901

Union County (973) 971-7184

CHANG KWEON MD

Anesthesiology

33 OVERLOOK RD, STE 311
SUMMIT, NJ 07901

Union County (908) 598-1500

DR. ELISE BUTKIEWICZ MD

Family Medicine

33 OVERLOOK RD, 103
SUMMIT, NJ 07901

Union County (908) 522-5700

JASON BYERS MD

Anesthesiology

33 OVERLOOK RD, STE 311
SUMMIT, NJ 07901

Union County (908) 598-1500

SUMMIT PLASTIC SURGERY, PC

Surgery (Plastic and Reconstructive Surgery)

33 OVERLOOK RD, SUITE 310
SUMMIT, NJ 07901

Union County (908) 918-1969

DR. JOSEPH F ALTONGY M.D.

Orthopaedic Surgery

33 OVERLOOK RD, SUITE 202
SUMMIT, NJ 07901

Union County (908) 273-8340

BEVERLY PRANZATELLI P.T.

Physical Therapist

33 OVERLOOK RD, SUITE 203
SUMMIT, NJ 07901

Union County (908) 608-0706

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 James Gardner's NPI number?

The NPI number for James Gardner is 1386676088. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is James Gardner located?

James Gardner practices at 33 Overlook Rd Suite 310, Summit, NJ 07901. The listed phone number is (908) 918-1969.

What is James Gardner's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is James Gardner enrolled in Medicare?

Yes. James 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.

Which organization bills Medicare for James Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Gardner reassigns Medicare benefits to Practice Associates Medical Group (Morristown, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Gardner accept?

Health plans from Oscar Health list James 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 James Gardner affiliated with any hospitals?

According to CMS data, James Gardner is affiliated with Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for James Gardner was last updated on September 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.