DR. MARK L GARDNER MD
NPI 1811921174
Internal Medicine - Cardiovascular Disease in Lakeport, CA

Q: What is Mark Gardner's NPI number?

The NPI number for Mark Gardner is 1811921174. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Mark Gardner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Gardner was last updated on December 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 10, 2006PECOS Enrolled

475 N FORBES ST, LAKEPORT, CA 95453(707) 263-6346(707) 263-5327 Get Directions Write a Review

NPPES record last updated: December 14, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Mark L Gardner Md NPPES

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

DR. MARK L GARDNER MD (NPI 1811921174) is an individual cardiovascular disease provider in Lakeport, California, licensed in California (G73337) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811921174

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. MARK L GARDNERCredential: MD

Location Address475 N FORBES STLakeport, CA 95453-4725

Mailing Address475 N Forbes StLakeport, CA 95453-4725 · (707) 263-6346 · Fax (707) 263-5327

Phone(707) 263-6346

Fax(707) 263-5327

Sole ProprietorNo

Enumeration DateJuly 10, 2006

Last NPPES UpdateDecember 14, 2017

✔ NPI 1811921174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in CA · G73337✔ Licensed in FL · ME0065785

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

475 N FORBES ST, Lakeport, CA 95453

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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 (PECOS)

Dr. Mark L Gardner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95453 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

Other Providers at the Same Location NPPES 3

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

NORTHERN CALIFORNIA MEDICAL ASSOC INC

Internal Medicine (Cardiovascular Disease)

475 N FORBES ST
LAKEPORT, CA 95453

Lake County (707) 263-6346

ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.

Internal Medicine (Cardiovascular Disease)

475 N FORBES ST
LAKEPORT, CA 95453

Lake County (707) 263-6346

ADVENTIST HEALTH PHYSICIANS NETWORK

Clinic/Center (Multi-Specialty)

475 N FORBES ST
LAKEPORT, CA 95453

Lake County (707) 263-6346

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 Mark Gardner's NPI number?

The NPI number for Mark Gardner is 1811921174. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Mark Gardner located?

Mark Gardner practices at 475 N Forbes St, Lakeport, CA 95453. The listed phone number is (707) 263-6346.

What is Mark Gardner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mark Gardner enrolled in Medicare?

Yes. Mark Gardner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Gardner was last updated on December 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.