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: July 19, 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
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

Accepted 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 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
104 services44 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
38 services31 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.
21 services16 patients
New patient office or other outpatient visit, 30-44 minutes 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.
21 services21 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.
19 services11 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
16 services11 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.

Nurse Practitioner
210 W 300 N
ROOSEVELT, UT 84066
Obstetrics & Gynecology
210 W 300 N
ROOSEVELT, UT 84066
Physician Assistant
210 W 300 N, 75-3
ROOSEVELT, UT 84066
Nurse Practitioner (Family)
210 W 300 N, #75-3
ROOSEVELT, UT 84066
Physician Assistant
210 W 300 N
ROOSEVELT, UT 84066
Family Medicine
210 W 300 N
ROOSEVELT, UT 84066
Internal Medicine
210 W 300 N, 75-3
ROOSEVELT, UT 84066
Physician Assistant
210 W 300 N
ROOSEVELT, UT 84066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396943825, enumerated as an "individual" on July 05, 2007.

The provider is located at 210 W 300 N ROOSEVELT, UT 84066 and the phone number is (435) 722-6163.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: BridgeSpan Health Company, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.

Brian Gardner is affiliated with: UINTAH BASIN MEDICAL CENTER.