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

About BELINDA L GARDNER C.R.N.A.

Belinda Gardner is a provider established in Baltimore, Maryland and her medical specialization is Nurse Anesthetist, Certified Registered with more than 20 years of experience. The NPI number of Belinda Gardner is 1407853039 and was 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 14 years ago.

NPI
1407853039
Provider Name BELINDA L GARDNER C.R.N.A.
Location Address600 N WOLFE ST BLALOCK 1415 BALTIMORE, MD 21287
Location Phone(443) 287-2937
Mailing Address600 N WOLFE ST BLALOCK 1415 BALTIMORE, MD 21287
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2003
Is Sole Proprietor?No
Enumeration Date06-28-2005
Last Update Date06-04-2009

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

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.5, 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.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.R118987
License StateMD
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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

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

Business Address

BELINDA L GARDNER C.R.N.A.
600 N WOLFE ST
BLALOCK 1415
BALTIMORE, MD
ZIP 21287
Phone: (443) 287-2937

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Mailing Address

BELINDA L GARDNER C.R.N.A.
600 N WOLFE ST
BLALOCK 1415
BALTIMORE, MD
ZIP 21287
Phone: (443) 287-2937


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

PECOS PAC ID5395731210
PECOS Enrollment IDI20040423001347
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 Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 21287 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$63.64 $191.95 $97.6
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.91 $47.98 $24.4
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$19.91 $156.57 $112.24
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.97 $39.14 $28.06

* The physician office visit costs information is obtained by Medicare's 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 Medicare's 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.

MIPS Measure Score Weight Score
Quality 40% 87.7
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 (PI) 25% N/A
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 15% 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 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 20% 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.
MIPS Final Score - 89.5
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.

Clinician Utilization

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 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 24Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
  • 11Anesthesia for procedure on lower intestine using an endoscope (HCPCS:00810)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes 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

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
1073508388 WILLIAM E NORTHINGTON III MD
Individual
Emergency Medicine600 N WOLFE ST
BALTIMORE, MD 21287
(410) 955-5000
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
1174594675DR. BRYAN D PROPES M.D.
Individual
Ophthalmology600 N WOLFE ST
BALTIMORE, MD 21287
(410) 955-5000
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

Frequently Asked Questions

What is Belinda Gardner C.R.N.A. NPI number?

The NPI number assigned to Belinda Gardner C.R.N.A. is 1407853039, registered as an "individual" on June 28, 2005

Where is Belinda Gardner C.R.N.A. located?

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

Which is Belinda Gardner C.R.N.A. specialty?

The provider's speciality is Nurse Anesthetist, Certified Registered

How many years of experience does Belinda Gardner C.R.N.A. have?

The provider has more than 20 years of experience.

What insurance does Belinda Gardner C.R.N.A. accept?

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

What are Belinda Gardner C.R.N.A. Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

How much is a visit to Belinda Gardner C.R.N.A.?

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.

What are some of the services provided by Belinda Gardner C.R.N.A.?

The most common procedures or services performed by this practitioner are: Anesthesia for procedure on gastrointestinal tract using an endoscope and Anesthesia for procedure on lower intestine using an endoscope.

How do I update my NPI information?

The NPI record of Belinda Gardner C.R.N.A. 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 at: [email protected]