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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARSHALL KEITH GARDNER D.O.
NPI 1750354783
Family Medicine in Philadelphia, PA

Active since February 09, 2006PECOS Enrolled
10151 BUSTLETON AVE, # D, PHILADELPHIA, PA 19116(215) 969-3013 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Sep 23, 2016 (2 updates tracked since 2016).

About Dr. Marshall Keith Gardner D.o. NPPES

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

DR. MARSHALL KEITH GARDNER D.O. (NPI 1750354783) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS003214L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1973).

NPPES Registry Identity

NPI1750354783
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARSHALL KEITH GARDNERCredential: D.O.
Location Address10151 BUSTLETON AVE, # DPhiladelphia, PA 19116-3718
Mailing Address15 Anthony DrRichboro, PA 18954-1328 · (215) 969-3013 · Fax (215) 676-2522
Phone(215) 969-3013
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateFebruary 9, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1750354783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS003214L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10151 BUSTLETON AVE, Philadelphia, PA 19116
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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

Dr. Marshall Keith Gardner D.o. 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 ID6002080173
PECOS Enrollment IDI20111219000041
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

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 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.
99 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19116 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

POLINA STOLYAROVA M.D.
Psychiatry & Neurology (Psychiatry)
10151 BUSTLETON AVE, UNIT C
PHILADELPHIA, PA 19116
Philadelphia County (215) 676-6393
COMPASSIONATE CARE CENTER LLC
Clinic/Center (Adult Mental Health)
10151 BUSTLETON AVE, UNIT C
PHILADELPHIA, PA 19116
Philadelphia County (215) 676-6393

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 Marshall Gardner's NPI number?

The NPI number for Marshall Gardner is 1750354783. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Marshall Gardner located?

Marshall Gardner practices at 10151 Bustleton Ave # D, Philadelphia, PA 19116. The listed phone number is (215) 969-3013.

What is Marshall Gardner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marshall Gardner enrolled in Medicare?

Yes. Marshall Gardner 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.

When was this NPI record last updated?

The NPPES record for Marshall Gardner was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.