PAUL GARDNER
NPI 1407936271
Neurological Surgery in Pittsburgh, PA

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
200 LOTHROP ST, PUH - B400, PITTSBURGH, PA 15213(412) 647-6385 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul Gardner NPPES

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

PAUL GARDNER (NPI 1407936271) is an individual neurological surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD422825) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1407936271
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NamePAUL GARDNER
Location Address200 LOTHROP ST, PUH - B400Pittsburgh, PA 15213-2536
Mailing Address200 Lothrop St, Forbes Tower, Room 9055Pittsburgh, PA 15213-2536
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 16, 2006
Last NPPES UpdateMarch 25, 2021
NPI 1407936271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in PA · MD422825
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
200 LOTHROP ST, Pittsburgh, PA 15213

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

Paul Gardner 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 ID143392209
PECOS Enrollment IDI20080707000252, I20251107002132
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 6

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 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.
63 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Computer-assisted procedure inside brain 61781
A computer-assisted brain procedure uses advanced technology for precise navigation within the brain. A computer creates a 3D model of your brain to help the surgeon accurately target the area needing treatment, improving safety and effectiveness.
17 services17 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.
16 services16 patients
Other procedure on nervous system 64999
A procedure on the nervous system can involve various techniques to diagnose or treat conditions affecting your brain, spinal cord, or nerves. These can include surgeries, tests, or therapies. It's done by specialized doctors to help improve your neurological health.
15 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Nurse Anesthetist, Certified Registered
200 LOTHROP ST
PITTSBURGH, PA 15213
Surgery (Vascular Surgery)
200 LOTHROP ST, F600 PRESBYTERIAN HOSPITAL
PITTSBURGH, PA 15213
Nurse Practitioner (Critical Care Medicine)
200 LOTHROP ST, 613 SCAIFE HALL
PITTSBURGH, PA 15213
Internal Medicine (Critical Care Medicine)
200 LOTHROP ST
PITTSBURGH, PA 15213
Occupational Therapist
200 LOTHROP ST
PITTSBURGH, PA 15213
Neurological Surgery
200 LOTHROP ST
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
200 LOTHROP ST
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
200 LOTHROP ST
PITTSBURGH, PA 15213

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 Paul Gardner's NPI number?

The NPI number for Paul Gardner is 1407936271. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Paul Gardner located?

Paul Gardner practices at 200 Lothrop St Puh - B400, Pittsburgh, PA 15213. The listed phone number is (412) 647-6385.

What is Paul Gardner's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Paul Gardner enrolled in Medicare?

Yes. Paul 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.

Is Paul Gardner affiliated with any hospitals?

According to CMS data, Paul Gardner is affiliated with Nyu Langone Hospitals, Upmc Hamot, Upmc Passavant, Upmc Presbyterian Shadyside and Upmc Horizon.

When was this NPI record last updated?

The NPPES record for Paul Gardner was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.