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MR. RANDY C GARDELL MD
NPI 1659483873
Psychiatry & Neurology - Neurology in Waco, TX

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
75.07/100
CMS Quality Rating
205 WOODHEW DR STE 110, WACO, TX 76712(254) 399-9291(254) 399-8414 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2023, Jul 15, 2019 (2 updates tracked since 2019).

About Mr. Randy C Gardell Md NPPES

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

MR. RANDY C GARDELL MD (NPI 1659483873) is an individual neurology provider in Waco, Texas, licensed in Texas (H2395) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Chi St Joseph Health Regional Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (1986).

NPPES Registry Identity

NPI1659483873
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMR. RANDY C GARDELLCredential: MD
Location Address205 WOODHEW DR STE 110Waco, TX 76712-6689
Mailing Address205 Woodhew Dr Ste 110Waco, TX 76712-6689 · (254) 399-9291 · Fax (254) 399-8414
Phone(254) 399-9291
Fax(254) 399-8414
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1986
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1659483873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TX · H2395
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
205 WOODHEW DR STE 110, Waco, TX 76712
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Mr. Randy C Gardell Md 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 ID6305972555
PECOS Enrollment IDI20100327000147
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 11

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.
1,566 services741 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
488 services275 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
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.
236 services236 patients
Nerve conduction, 7-8 studies 95910
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.
126 services126 patients
Measurement of brain wave activity (eeg), 41-60 minutes 95812
This procedure involves placing small sensors on your head to record your brain's electrical activity for 41-60 minutes. Known as an EEG, it helps doctors understand how your brain works, assisting in diagnosing conditions like epilepsy or sleep disorders.
98 services98 patients
Nerve conduction, 5-6 studies 95909
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.
91 services90 patients

Hospital Affiliations CMS Care Compare 5

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

Chi St Joseph Health Regional Hospital

Acute Care Hospitals · Bryan, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450011
Location2801 Franciscan DrBryan, TX 77802 · Brazos County
Emergency services Birthing friendly

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Limestone Medical Center

Critical Access Hospitals · Groesbeck, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451303
Location701 Mcclintic DriveGroesbeck, TX 76642 · Limestone County
Emergency services

Coryell Memorial Hospital

Critical Access Hospitals · Gatesville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451379
Location1507 W Main StreetGatesville, TX 76528 · Coryell County
Emergency services

Goodall Witcher Hospital

Critical Access Hospitals · Clifton, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451385
Location101 Posey AvenueClifton, TX 76634 · Bosque County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

75.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality50.14
Improvement Activities40

Reported Quality Measures

Assessment of Cognitive Impairment or Dysfunction for Patients with Parkinson's Disease
0%170 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
99%5,677 patients4/55-star benchmark: 100%
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
16%1,028 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
93%5,662 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
64%5,655 patients3/55-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.

LINDA BOLTON-GROH MSN, APRN, FNP-C
Nurse Practitioner
205 WOODHEW DR STE 110
WOODWAY, TX 76712
McLennan County (254) 399-9291
CENTRAL TEXAS NEUROLOGICAL ASSOCIATION
Psychiatry & Neurology (Neurology)
205 WOODHEW DR STE 110
WACO, TX 76712
McLennan County (254) 399-9291

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 Randy Gardell's NPI number?

The NPI number for Randy Gardell is 1659483873. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Randy Gardell located?

Randy Gardell practices at 205 Woodhew Dr Ste 110, Waco, TX 76712. The listed phone number is (254) 399-9291.

What is Randy Gardell's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Randy Gardell enrolled in Medicare?

Yes. Randy Gardell 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 Randy Gardell accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Randy Gardell 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 Randy Gardell affiliated with any hospitals?

According to CMS data, Randy Gardell is affiliated with Chi St Joseph Health Regional Hospital, Ascension Providence, Limestone Medical Center, Coryell Memorial Hospital and Goodall Witcher Hospital.

When was this NPI record last updated?

The NPPES record for Randy Gardell was last updated on June 20, 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.