KELLY GARDNER PA-C
NPI 1629315239
Physician Assistant in Chardon, OH

Q: What is Kelly Gardner's NPI number?

The NPI number for Kelly Gardner is 1629315239. It was assigned to this individual provider in the NPPES registry on January 16, 2013. The provider is also known as Kelly Pintchuk Pa-C.

Q: What is Kelly Gardner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Gardner was last updated on November 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 January 16, 2013PECOS EnrolledAccepts Medicare Assignment

13207 RAVENNA RD, CHARDON, OH 44024(330) 656-9304(330) 656-5901 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Gardner Pa-c NPPES

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

KELLY GARDNER PA-C (NPI 1629315239) is an individual physician assistant in Chardon, Ohio and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, is affiliated with Uh Cleveland Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1629315239

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELLY GARDNERCredential: PA-C

Location Address13207 RAVENNA RDChardon, OH 44024-7032

Mailing Address5700 Darrow Rd, Suite 106Hudson, OH 44236-5026 · (330) 656-9304 · Fax (330) 656-5901

Phone(330) 656-9304

Fax(330) 656-5901

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJanuary 16, 2013

Last NPPES UpdateNovember 17, 2015

✔ NPI 1629315239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

13207 RAVENNA RD, Chardon, OH 44024

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Other Names 1

Former Name (1)Kelly Pintchuk Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Kelly Gardner Pa-c 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 ID2860629185

PECOS Enrollment IDI20131212000616

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 7

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 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.

151 services98 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.

85 services66 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

60 services60 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

33 services22 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

18 services15 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360137

Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County

Emergency services Birthing friendly

Uhhs Memorial Hospital Of Geneva

Critical Access Hospitals · Geneva, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number361307

Location870 West Main StreetGeneva, OH 44041 · Ashtabula County

Emergency services

University Hospitals Conneaut Medical Center

Critical Access Hospitals · Conneaut, OH

OwnershipVoluntary non-profit - Other

CMS Certification Number361308

Location158 West Main RoadConneaut, OH 44030 · Ashtabula County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44024 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

ROBERT J. ZIMMERMAN M.D.

Emergency Medicine