DR. SCOTT DONALD GARDNER M.D.
NPI 1457613655
Ophthalmology in Fayetteville, GA

Q: What is Scott Gardner's NPI number?

The NPI number for Scott Gardner is 1457613655. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Q: What is Scott Gardner's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Gardner was last updated on March 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 13, 2012PECOS EnrolledAccepts Medicare Assignment

83.38/100

CMS Quality Rating

340 BRANDYWINE BLVD, FAYETTEVILLE, GA 30214(770) 719-7950(770) 460-1739 Get Directions Write a Review

NPPES record last updated: March 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 8, 2019, Mar 22, 2016 (2 updates tracked since 2016).

On this page

About Dr. Scott Donald Gardner M.d. NPPES

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

DR. SCOTT DONALD GARDNER M.D. (NPI 1457613655) is an individual ophthalmology provider in Fayetteville, Georgia, licensed in Georgia (075189) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Piedmont Newnan Hospital, Inc, and is a graduate of University Of Oklahoma College Of Medicine (2012).

NPPES Registry Identity

NPI1457613655

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. SCOTT DONALD GARDNERCredential: M.D.

Location Address340 BRANDYWINE BLVDFayetteville, GA 30214-1562

Mailing Address340 Brandywine BlvdFayetteville, GA 30214-1562 · (770) 719-7950 · Fax (770) 460-1739

Phone(770) 719-7950

Fax(770) 460-1739

Sole ProprietorNo

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2012

Enumeration DateJune 13, 2012

Last NPPES UpdateMarch 8, 20192 updates tracked since enumeration

✔ NPI 1457613655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in GA · 075189

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

340 BRANDYWINE BLVD, Fayetteville, GA 30214

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Other Identifiers 2

Other202I183334GA · Medicare Ptan

Medicaid003175035AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Scott Donald Gardner M.d. 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 ID3971800020

PECOS Enrollment IDI20160405000603

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.

Medicare Billing Reassignment

Medicare enrollment records show Scott Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eye Consultants Of Atlanta, PC

30 mi

Ophthalmology

3225 CUMBERLAND BLVD SE, SUITE 800 OR 900
Atlanta, GA 30339

Reassigned Medicare billing, Georgia enrollment
35 clinicians in this Medicare group

NPI 1770679094 (404) 351-2220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

1,125 services1,051 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

486 services482 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

357 services336 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.

338 services262 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

252 services165 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

251 services248 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

245 services146 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

229 services229 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

113 services110 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

65 services52 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

46 services46 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

34 services34 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

18 services18 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services15 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110229

Location745 Poplar RoadNewnan, GA 30265 · Coweta County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

83.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.79

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

100%203 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

CHARLES HOWELL TUCKER MD

Ophthalmology

340 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214

Fayette County (770) 460-4286

BRIAN D LONG MD

Ophthalmology

340 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214

Fayette County (770) 719-7950

ECA OPTICAL, LLC

Eyewear Supplier

340 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214

Fayette County (770) 460-4286

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 Scott Gardner's NPI number?

The NPI number for Scott Gardner is 1457613655. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Where is Scott Gardner located?

Scott Gardner practices at 340 Brandywine Blvd, Fayetteville, GA 30214. The listed phone number is (770) 719-7950.

What is Scott Gardner's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Scott Gardner enrolled in Medicare?

Yes. Scott 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.

Which organization bills Medicare for Scott Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Gardner reassigns Medicare benefits to Eye Consultants Of Atlanta, PC (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Gardner accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Scott 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 Scott Gardner affiliated with any hospitals?

According to CMS data, Scott Gardner is affiliated with Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Scott Gardner was last updated on March 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.