HART PHILLIP GARNER MD
NPI 1497808422
Neurological Surgery in Coon Rapids, MN

NPI Status: Active since January 21, 2007

Contact Information

11850 BLACKFOOT ST NW
SUITE 490
COON RAPIDS, MN
ZIP 55433
Phone: (763) 427-1137
Fax: (763) 427-4643

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  • Individual
  • Male
  • Years of Experience 24
  • Neurological Surgery
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About HART GARNER

This page provides the complete NPI Profile along with additional information for Hart Garner, a provider established in Coon Rapids, Minnesota with a medical specialization in Neurological Surgery and more than 24 years of experience. He graduated from University Of Minnesota Medical School in 2002. The healthcare provider is registered in the NPI registry with number 1497808422 assigned on January 2007. The practitioner's primary taxonomy code is 207T00000X with license number 46452 (MN). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1497808422
Provider Name
HART PHILLIP GARNER MD
Gender
Male
Entity Type
Individual
Location Address
11850 BLACKFOOT ST NW SUITE 490 COON RAPIDS, MN 55433
Location Phone
(763) 427-1137
Location Fax
(763) 427-4643
Mailing Address
11850 BLACKFOOT ST NW SUITE 490 COON RAPIDS, MN 55433
Mailing Phone
(763) 427-1137
Mailing Fax
(763) 427-4643
Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year
2002
Is Sole Proprietor?
No
Enumeration Date
01-21-2007
Last Update Date
07-20-2015
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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

Neurological Surgery

Taxonomy Code
207T00000X
Type
Allopathic & Osteopathic Physicians
License No.
46452
License State
MN
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,000 - PPO
  • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
  • Sanford Individual Simplicity $9,200 - PPO
  • Sanford Individual Simplicity Standardized $1,500 - PPO
  • Sanford Individual Simplicity Standardized $5,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

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

Medicare Participation & PECOS Enrollment Status

Hart Garner 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.

Hart Garner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

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.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8224116314

    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: I20080415000154

    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.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 15 times for 13 patients

Laminectomy or laminotomy (partial removal of spine bones)

A laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.

This service was performed for 56 patients

New patient office or other outpatient visit, 45-59 minutes

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.

This service was performed 16 times for 16 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 11 times for 11 patients

Spinal fusion

Spinal fusion is a surgical procedure aimed at connecting two or more vertebrae in your spine to reduce pain and improve stability. It involves using a bone graft to cause the vertebrae to grow together, limiting the movement between them. This procedure is often performed to treat conditions like herniated discs or spinal stenosis.

This service was performed for 75 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.9 for a new patient copayment and $17.43 for an established patient copayment.

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 55433 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $127.61
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $31.9
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.74
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $17.43
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* 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.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Chronic Care and Preventative Care Management for Empaneled PatientsYesN/A
Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation.
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Medication Reconciliation 1% 140
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 1% 318
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Provide Patient Access 28% 384
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 1% 384
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Specialized Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

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. Hart Garner is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
NORTH MEMORIAL HEALTH HOSPITAL3300 OAKDALE NORTH
ROBBINSDALE, MN 55422
(763) 520-5200Acute Care Hospitals
MAPLE GROVE HOSPITAL9875 HOSPITAL DRIVE
MAPLE GROVE, MN 55369
(763) 581-1563Acute Care Hospitals

Reviews for HART PHILLIP GARNER MD

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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.
1497808422
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241871601644
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 6 + 0 + 1 + 6 + 4 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1497808422 is valid because the calculated check digit 2 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.

ROBIN R UITHOVEN CNP

Nurse Practitioner

11850 BLACKFOOT ST NW
SUITE 100
COON RAPIDS, MN
ZIP 55433

(763) 712-2100

DR. GREGG N DYSTE M.D.

Specialist

11850 BLACKFOOT ST NW
SUITE 490
COON RAPIDS, MN
ZIP 55433

(763) 427-1137

ANNIE TAN MD

Obstetrics & Gynecology

(Gynecologic Oncology)

11850 BLACKFOOT ST NW
SUITE 100
COON RAPIDS, MN
ZIP 55433

(763) 721-2100

KIRAN K LASSI M.D.

Internal Medicine

(Medical Oncology)

11850 BLACKFOOT ST NW
SUITE 100
COON RAPIDS, MN
ZIP 55433

(763) 712-2100

MRS. DENISE RAE JONES

Genetic Counselor, MS

11850 BLACKFOOT ST NW
SUITE 130
COON RAPIDS, MN
ZIP 55433

(763) 236-5620

MEAGAN O'GRADY ATC

Specialist/Technologist

(Athletic Trainer)

11850 BLACKFOOT ST NW
MINNEAPOLIS, MN
ZIP 55433

(763) 236-0800

DR. LUCIA ASTRID GARINO M.D.

Internal Medicine

(Hematology & Oncology)

11850 BLACKFOOT ST NW
SUITE 100
COON RAPIDS, MN
ZIP 55433

(763) 721-2100

DR. MARK Y SUN MD

Colon & Rectal Surgery

11850 BLACKFOOT ST NW
SUITE 270
COON RAPIDS, MN
ZIP 55433

(651) 312-1717

CHRISTINE C JENSEN MD

Colon & Rectal Surgery

11850 BLACKFOOT ST NW
SUITE 270
COON RAPIDS, MN
ZIP 55433

(651) 312-1717

DR. ROBERT ROACH M.D.

Neurological Surgery

11850 BLACKFOOT ST NW
SUITE 490
COON RAPIDS, MN
ZIP 55433

(763) 427-1137

DR. DEREK PAUL DOTY D.C.

Chiropractor

11850 BLACKFOOT ST NW
STE. 405
COON RAPIDS, MN
ZIP 55433

(800) 827-8313

DONALD JOYCE MD

Family Medicine

(Sports Medicine)

11850 BLACKFOOT ST NW
COON RAPIDS, MN
ZIP 55433

(952) 946-9777

ESTER NAAG VANG

Specialist/Technologist

(Athletic Trainer)

11850 BLACKFOOT ST NW
COON RAPIDS, MN
ZIP 55433

(651) 757-0945

JOYLENE MAE AUDETTE PT

Physical Therapist

11850 BLACKFOOT ST NW
COON RAPIDS, MN
ZIP 55433

(763) 236-8911

ERIN K BALDRIDGE PT

Physical Therapist

11850 BLACKFOOT ST NW
COON RAPIDS, MN
ZIP 55433

(763) 236-8911

DR. GRANT OYAT LEE M.D.

Surgery

11850 BLACKFOOT ST NW
COON RAPIDS, MN
ZIP 55433

(763) 236-9000

KALIL DONZO

Pharmacist

11850 BLACKFOOT ST NW
COON RAPIDS, MN
ZIP 55433

(763) 236-7111

BRENT D. DUMERMUTH M.D.

Obstetrics & Gynecology

11850 BLACKFOOT ST NW
SUITE 300
COON RAPIDS, MN
ZIP 55433

(763) 236-9236

DR. JAMES ROEMER PHARMD

Pharmacist

11850 BLACKFOOT ST NW
COON RAPIDS, MN
ZIP 55433

(763) 236-7111

KAMRIE ANN PARROTT FNP-C

Nurse Practitioner

(Family)

11850 BLACKFOOT ST NW
STE 130
COON RAPIDS, MN
ZIP 55433

(763) 236-2045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497808422, enumerated as an "individual" on January 21, 2007.

The provider is located at 11850 BLACKFOOT ST NW SUITE 490 COON RAPIDS, MN 55433 and the phone number is (763) 427-1137.

Neurological Surgery with taxonomy code 207T00000X.

The provider might be accepting Accepts: Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.

Hart Garner is affiliated with: NORTH MEMORIAL HEALTH HOSPITAL and MAPLE GROVE HOSPITAL.