MICHAEL LEONARD GARNER M.D.
NPI 1629451141
Dermatology in Boone, NC

Active since July 01, 2015PECOS EnrolledAccepts Medicare Assignment
91.92/100
CMS Quality Rating
169 DOCTORS DR, BOONE, NC 28607(828) 264-4553 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2019, Jul 3, 2019 (2 updates tracked since 2019).

About Michael Leonard Garner M.d. NPPES

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

MICHAEL LEONARD GARNER M.D. (NPI 1629451141) is an individual dermatology provider in Boone, North Carolina, licensed in North Carolina (201901147) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Watauga Medical Center, and maintains a secondary practice location in Spartanburg.

NPPES Registry Identity

NPI1629451141
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMICHAEL LEONARD GARNERCredential: M.D.
Location Address169 DOCTORS DRBoone, NC 28607-5017
Mailing Address169 Birch StBoone, NC 28607-5069 · (828) 264-4553 · Fax (828) 262-3649
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2015
Enumeration DateJuly 1, 2015
Last NPPES UpdateJuly 11, 20192 updates tracked since enumeration
NPI 1629451141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NC · 201901147
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedInternal MedicineTaxonomy 207R00000X · License LL38257 (SC)
169 DOCTORS DR, Boone, NC 28607

Secondary Practice Location 1

Location 1101 E Wood St, Attn: Graduate Medical EducationSpartanburg, SC 29303-3040 · Phone (864) 560-6000 · Fax (864) 560-7343

Accepted 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

Michael Leonard Garner 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 ID2961710686
PECOS Enrollment IDI20190816002199
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 30

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,812 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.
543 services466 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
486 services424 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
402 services344 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.
336 services267 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
214 services164 patients

Hospital Affiliations CMS Care Compare

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

Watauga Medical Center

Acute Care Hospitals · Boone, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340051
Location336 Deerfield RoadBoone, NC 28607 · Watauga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28607 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

91.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.96
Promoting Interoperability98
Improvement Activities40
Cost88.78

Reported Quality Measures

Documentation of Current Medications in the Medical Record
99%3,583 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 545 patients
Patients screened: 100% · 545 patients
100%39 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%3,204 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%65 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 2

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

Obstetrics & Gynecology
169 DOCTORS DR
BOONE, NC 28607
Physician Assistant
169 DOCTORS DR
BOONE, NC 28607

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 Michael Garner's NPI number?

The NPI number for Michael Garner is 1629451141. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Where is Michael Garner located?

Michael Garner practices at 169 Doctors Dr, Boone, NC 28607. The listed phone number is (828) 264-4553.

What is Michael Garner's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Michael Garner enrolled in Medicare?

Yes. Michael Garner 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.

What insurance does Michael Garner accept?

Health plans from Blue Cross and Blue Shield of NC list Michael Garner 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 Michael Garner affiliated with any hospitals?

According to CMS data, Michael Garner is affiliated with Watauga Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Garner was last updated on July 11, 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.