1. Home
  2. Directory
  3. Florida
  4. Naples
  5. Plastic Surgery
  6. NPI Profile

GARDNER PLASTIC SURGERY INC
NPI 1639317290
Plastic Surgery in Naples, FL

Active since February 04, 2009CLIA 10D2103680 · Waiver
1250 PINE RIDGE RD STE 101C, NAPLES, FL 34108(239) 566-2611(239) 431-8069 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2023, Feb 27, 2023 (2 updates tracked since 2023).

About Gardner Plastic Surgery Inc NPPES

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

GARDNER PLASTIC SURGERY INC (NPI 1639317290) is a healthcare organization registered as a plastic surgery in Naples, Florida and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Paul Michael Gardner, Manager, as its authorized official.

NPPES Registry Identity

NPI1639317290
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameGARDNER PLASTIC SURGERY INC
Location Address1250 PINE RIDGE RD STE 101CNaples, FL 34108-8913
Mailing Address1250 Pine Ridge Rd Ste 101cNaples, FL 34108-8913 · (239) 566-2611 · Fax (239) 431-8069
Phone(239) 566-2611
Fax(239) 431-8069
Organization SubpartNo
Authorized OfficialPaul Michael GardnerManager · (239) 877-2239
Enumeration DateFebruary 4, 2009
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
✔ NPI 1639317290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1250 PINE RIDGE RD STE 101C, Naples, FL 34108
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gardner Plastic Surgery Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Gardner Plastic Surgery Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Andrew Bonett, M.D.
Plastic and Reconstructive Surgery
NPI 1376956763
1250 PINE RIDGE RD STE 101C
Naples, FL 34108
(239) 566-2611
✔ PECOS✔ Accepts MedicareSame address
Mark Walsh, MD
Plastic and Reconstructive Surgery
NPI 1144376724
1250 PINE RIDGE RD STE 101C
Naples, FL 34108
(239) 566-2611
✔ PECOS✔ Accepts MedicareSame address
Paul Gardner, M.D.
Plastic and Reconstructive Surgery
NPI 1053446641
1250 PINE RIDGE RD STE 101C
Naples, FL 34108
(239) 566-2611
✔ PECOS✔ Accepts MedicareSame address
Aaron Jacobs, MD
Plastic and Reconstructive Surgery
NPI 1871151530
1250 PINE RIDGE RD STE 101C
Naples, FL 34108
(239) 566-2611
✔ PECOS✔ Accepts MedicareSame address
Jason Crespo, M.D.
Plastic and Reconstructive Surgery
NPI 1790123487
125 W COPELAND DR
Orlando, FL 32806
(218) 417-0903
✔ PECOS✔ Accepts Medicare162 mi
Leopoldo Baccaro, M.D.
Plastic and Reconstructive Surgery
NPI 1821316381
250 S 21ST ST EASTON HOSPITAL GENERAL SURGERY DEPT.
Easton, PA 18042
(610) 250-4000
✔ PECOS✔ Accepts Medicare1,066 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2103680

Gardner Plastic Surgery LLC · Naples, FL
Active · expires Oct 18, 2027
CLIA Number10D2103680
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorLeopoldo M. Baccaro
Laboratory Phone(239) 566-2611
Laboratory LocationGardner Plastic Surgery LLC1250 Pine Ridge Rd Ste 101C, Naples, FL 34108
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Gardner Plastic Surgery Inc's NPI number?

The NPI number for Gardner Plastic Surgery Inc is 1639317290. It was assigned to this organization in the NPPES registry on February 4, 2009.

Where is Gardner Plastic Surgery Inc located?

Gardner Plastic Surgery Inc is located at 1250 Pine Ridge Rd Ste 101C, Naples, FL 34108. The listed phone number is (239) 566-2611.

What is Gardner Plastic Surgery Inc's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Gardner Plastic Surgery Inc enrolled in Medicare?

Yes. Gardner Plastic Surgery Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gardner Plastic Surgery Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Gardner Plastic Surgery Inc. A 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 the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gardner Plastic Surgery Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2103680) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gardner Plastic Surgery Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Gardner Plastic Surgery Inc 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.

When was this NPI record last updated?

The NPPES record for Gardner Plastic Surgery Inc was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.