BELINDA L GARDNER C.R.N.A.
NPI 1407853039
Nurse Anesthetist, Certified Registered in Baltimore, MD


Quality Rating: 99.75 out of 100 score

NPI Status: Active since June 28, 2005

Contact Information

600 N WOLFE ST
BLALOCK 1415
BALTIMORE, MD
ZIP 21287
Phone: (443) 287-2937

Get Directions Reviews

  • Individual
  • Female
  • Years of Experience 21
  • Nurse Anesthetist, Certified Registered
  • Accepts Medicare Approved Payment

About BELINDA GARDNER

Belinda Gardner is a provider established in Baltimore, Maryland and her medical specialization is Nurse Anesthetist, Certified Registered with more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1407853039 assigned on June 2005. The practitioner's primary taxonomy code is 367500000X with license number R118987 (MD). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1407853039
Provider Name
BELINDA L GARDNER C.R.N.A.
Gender
Female
Entity Type
Individual
Location Address
600 N WOLFE ST BLALOCK 1415 BALTIMORE, MD 21287
Location Phone
(443) 287-2937
Mailing Address
600 N WOLFE ST BLALOCK 1415 BALTIMORE, MD 21287
Mailing Phone
(443) 287-2937
Medical School Name
OTHER
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
06-28-2005
Last Update Date
06-04-2009
Code Navigator

Belinda Gardner is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 99.75, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $24.4 for a new patient copayment and $28.06 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R118987
License State
MD
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
454MH685OTHER (01)MDTRAILBLAZER
404582300MEDICAID (05)MD 

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 5395731210

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040423001347

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 21287 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $97.6
  • Minimum New Patient Price $63.64
  • Maximum New Patient Price $191.95
  • Average New Patient Copayment $24.4
  • Minimum New Patient Copayment $15.91
  • Maximum New Patient Copayment $47.98

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $112.24
  • Minimum Established Patient Price $19.91
  • Maximum Established Patient Price $156.57
  • Average Established Patient Copayment $28.06
  • Minimum Established Patient Copayment $4.97
  • Maximum Established Patient Copayment $39.14

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 99.75 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 99.56

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 16

    Anesthesia for procedure on large bowel using an endoscope (HCPCS:00811)

  • 15

    Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:00731)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Belinda Gardner is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
JOHNS HOPKINS HOSPITAL, THE600 NORTH WOLFE STREET
BALTIMORE, MD 21287
(410) 955-5000Acute Care Hospitals

Reviews for BELINDA L GARDNER C.R.N.A.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1407853039
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2407165606
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 1 + 6 + 5 + 6 + 0 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1407853039 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588667943MS. LAURA M HOSTOVICH CRNP
Individual
Nurse Practitioner600 N WOLFE ST WEINBERG BUILDING ROOM 1123
BALTIMORE, MD 21287
(410) 614-4501
1467443101DR. ALAN G SECHTIN M.D.
Individual
Radiology (Diagnostic Radiology)600 N WOLFE ST
BALTIMORE, MD 21287
(410) 955-5000
1780665778 DIANE LAW NP
Individual
Nurse Practitioner (Acute Care)600 N WOLFE ST
BALTIMORE, MD 21287
(410) 502-5648
1619951464MS. JENNIFER LYNN WILSON CRNP
Individual
Registered Nurse (Neonatal Intensive Care)600 N WOLFE ST CMCS 2 - NICU
BALTIMORE, MD 21287
(410) 955-5255
1104803386 JENELL SHEREE COLEMAN MD MPH
Individual
Obstetrics & Gynecology600 N WOLFE ST
BALTIMORE, MD 21287
(410) 502-3698
1427018696DR. PATRICIA ALPHONSINE ROSS PHARM.D.
Individual
Pharmacist (Pharmacotherapy)600 N WOLFE ST
BALTIMORE, MD 21287
(410) 434-1000
1982668257 KATRIN INGRID ANDREASSON M.D.
Individual
Psychiatry & Neurology (Neurology)600 N WOLFE ST
BALTIMORE, MD 21287
(410) 955-9441
1467417212 WALTER FLEMING ATHA M.D.
Individual
Emergency Medicine600 N WOLFE ST
BALTIMORE, MD 21287
(410) 955-2280
1992769889 JEAN RENE ANDERSON M.D.
Individual
Obstetrics & Gynecology600 N WOLFE ST
BALTIMORE, MD 21287
(410) 955-6700
1659336410 ALICE M ARMOUR P.A.-C.
Individual
Physician Assistant600 N WOLFE ST
BALTIMORE, MD 21287
(410) 955-3870
1104881796 SHANNON RAE BARNETT M.D.
Individual
Psychiatry & Neurology (Psychiatry)600 N WOLFE ST
BALTIMORE, MD 21287
(410) 955-6181
1245295872 GARY B GREEN M.D.
Individual
Emergency Medicine600 N WOLFE ST
BALTIMORE, MD 21287
(410) 955-2280
1366407074 LAWRENCE GRIFFITH M.D.
Individual
Internal Medicine (Cardiovascular Disease)600 N WOLFE ST
BALTIMORE, MD 21287
(410) 955-3116
1629033147 HEATHER BARTLETT CASPARIS M.D.
Individual
Ophthalmology600 N WOLFE ST
BALTIMORE, MD 21287
(410) 955-5080
1598720922 MARY CATHERINE BEACH M.D.
Individual
Internal Medicine600 N WOLFE ST
BALTIMORE, MD 21287
(410) 955-9434
1760447114 ATUL BEDI M.D.
Individual
Internal Medicine (Medical Oncology)600 N WOLFE ST
BALTIMORE, MD 21287
(410) 955-8964
1972568202 ERNEST N ARNETT M.D.
Individual
Internal Medicine (Cardiovascular Disease)600 N WOLFE ST
BALTIMORE, MD 21287
(410) 955-3116
1649235979 SUSAN WRIGHT AUCOTT M.D.
Individual
Pediatrics (Pediatric Gastroenterology)600 N WOLFE ST
BALTIMORE, MD 21287
(410) 955-2000
1477518645 CHARLES MITCHELL BALCH M.D.
Individual
Surgery600 N WOLFE ST
BALTIMORE, MD 21287
(410) 955-1658
1376508556 ROBERT GREENBERG M.D.
Individual
Anesthesiology600 N WOLFE ST
BALTIMORE, MD 21287
(410) 955-6353

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407853039, enumerated in the NPI registry as an "individual" on June 28, 2005

The provider is located at 600 N Wolfe St Blalock 1415 Baltimore, Md 21287 and the phone number is (443) 287-2937

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider has more than 21 years of experience.

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $97.6 with an average copayment of $24.4 for new patient appointments. Established patients should expect a typical charge of $112.24 and an average copayment of 28.06. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Anesthesia for procedure on large bowel using an endoscope and Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope.

The practitioner is affiliated to the following hospital(s): JOHNS HOPKINS HOSPITAL, THE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 28, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.