TERRY L GARDINER M.D.
NPI 1790103737
Internal Medicine - Hospice and Palliative Medicine in Muskegon, MI

Active since April 06, 2014PECOS EnrolledAccepts Medicare Assignment
81.63/100
CMS Quality Rating
1500 E SHERMAN BLVD, MUSKEGON, MI 49444(231) 672-3027(231) 672-3873 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 27, 2022, Jun 17, 2020, Jun 13, 2019 (3 updates tracked since 2019).

About Terry L Gardiner M.d. NPPES

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

TERRY L GARDINER M.D. (NPI 1790103737) is an individual hospice and palliative medicine provider in Muskegon, Michigan, licensed in Michigan (4301502632) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Michigan State University College Of Human Medicine (2014).

NPPES Registry Identity

NPI1790103737
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameTERRY L GARDINERCredential: M.D.
Location Address1500 E SHERMAN BLVDMuskegon, MI 49444-1849
Mailing Address1221 Yorkshire Dr Apt 203Norton Shores, MI 49441-5358 · (231) 672-3027
Fax(231) 672-3873
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2014
Enumeration DateApril 6, 2014
Last NPPES UpdateSeptember 27, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2022
NPI 1790103737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License Licensed in MI · 4301502632
Definition

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

1500 E SHERMAN BLVD, Muskegon, MI 49444

Other Names 1

Former Name (1)Terry L Barrett M.d.

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

Terry L Gardiner 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 ID2961757646
PECOS Enrollment IDI20200617002874
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
80 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
62 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
61 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
50 services45 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services35 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

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.

81.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.85
Improvement Activities20
Cost58.94

Other Providers at the Same Location NPPES 19

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

Anesthesiology
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Nurse Anesthetist, Certified Registered
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Nurse Anesthetist, Certified Registered
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Nurse Anesthetist, Certified Registered
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Anesthesiology
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Anesthesiology
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Anesthesiology
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Anesthesiology
1500 E SHERMAN BLVD
MUSKEGON, MI 49444

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 Terry Gardiner's NPI number?

The NPI number for Terry Gardiner is 1790103737. It was assigned to this individual provider in the NPPES registry on April 6, 2014.

Where is Terry Gardiner located?

Terry Gardiner practices at 1500 E Sherman Blvd, Muskegon, MI 49444. The listed phone number is (231) 672-3027.

What is Terry Gardiner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Terry Gardiner enrolled in Medicare?

Yes. Terry Gardiner 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 Terry Gardiner accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Terry Gardiner 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 Terry Gardiner affiliated with any hospitals?

According to CMS data, Terry Gardiner is affiliated with Trinity Health Muskegon Hospital.

When was this NPI record last updated?

The NPPES record for Terry Gardiner was last updated on September 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.