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BRIAN KOWALLIS GARDNER DPM
NPI 1396943825
Podiatrist - Foot & Ankle Surgery in Roosevelt, UT

Active since July 05, 2007PECOS EnrolledAccepts Medicare Assignment
99.76/100
CMS Quality Rating
210 W 300 N, ROOSEVELT, UT 84066(435) 722-6163(435) 722-9291 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian Kowallis Gardner Dpm NPPES

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

BRIAN KOWALLIS GARDNER DPM (NPI 1396943825) is an individual foot & ankle surgery provider in Roosevelt, Utah, licensed in Utah (6297901-0501) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Uintah Basin Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1396943825
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameBRIAN KOWALLIS GARDNERCredential: DPM
Location Address210 W 300 NRoosevelt, UT 84066-2336
Mailing Address210 W 300 NRoosevelt, UT 84066-2336 · (435) 722-6163 · Fax (435) 722-9291
Phone(435) 722-6163
Fax(435) 722-9291
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 5, 2007
Last NPPES UpdateMay 11, 2017
✔ NPI 1396943825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in UT · 6297901-0501
210 W 300 N, Roosevelt, UT 84066
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah 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

Brian Kowallis Gardner Dpm 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 ID6406921717
PECOS Enrollment IDI20080821000289
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 5

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
89 services39 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.
36 services31 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
22 services12 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
18 services13 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Uintah Basin Medical Center

Acute Care Hospitals · Roosevelt, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460019
Location250 West 300 NorthRoosevelt, UT 84066 · Duchesne County
Emergency services Birthing friendly

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.

99.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost99.21

Other Providers at the Same Location NPPES 16

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

BRYCE S PACE
Physician Assistant
210 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-4691
CASEY CURTIS CARTER
Physician Assistant
210 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-4691
CAROL F RASMUSSEN NP
Nurse Practitioner
210 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-6163
GREGORY GARNER PT, DPT
Physical Therapist
210 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-4691
DR. BEN DOUGLAS WILLIAMS MD
Obstetrics & Gynecology
210 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-3971
SAMUEL M. WILSON DO
Dermatology
210 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-4691
DR. JAMES LAMOYNE POTTER DO
Anesthesiology
210 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-4691
MRS. VAIL SHANAE BATTY RN
Registered Nurse (Diabetes Educator)
210 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-6130

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 Brian Gardner's NPI number?

The NPI number for Brian Gardner is 1396943825. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Where is Brian Gardner located?

Brian Gardner practices at 210 W 300 N, Roosevelt, UT 84066. The listed phone number is (435) 722-6163.

What is Brian Gardner's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Brian Gardner enrolled in Medicare?

Yes. Brian 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 Brian Gardner accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Brian 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 Brian Gardner affiliated with any hospitals?

According to CMS data, Brian Gardner is affiliated with Uintah Basin Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Gardner was last updated on May 11, 2017. 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.