DR. CARMEN S GARDNER MD
NPI 1831594647
Internal Medicine in Richmond, IN
About Dr. Carmen S Gardner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARMEN S GARDNER MD (NPI 1831594647) is an individual internal medicine provider in Richmond, Indiana, licensed in Indiana (01080131A) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Reid Health, and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Carmen S Gardner 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.
Medicare Billing Reassignments
3Medicare enrollment records show Carmen Gardner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Richmond, IN 47374
- Reassigned Medicare billing, Indiana enrollment
- 527 clinicians in this Medicare group
Ellsworth, ME 04605
- Reassigned Medicare billing, Maine enrollment
- 99 clinicians in this Medicare group
Ellsworth, ME 04605
- Reassigned Medicare billing, Maine enrollment
- 85 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Reid Health
Acute Care Hospitals · Richmond, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RICHMOND, IN 47374
RICHMOND, IN 47374
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 Carmen Gardner's NPI number?
The NPI number for Carmen Gardner is 1831594647. It was assigned to this individual provider in the NPPES registry on October 23, 2014.
Where is Carmen Gardner located?
Carmen Gardner practices at 1100 Reid Pkwy, Richmond, IN 47374. The listed phone number is (765) 983-3492.
What is Carmen Gardner's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Carmen Gardner enrolled in Medicare?
Yes. Carmen 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.
Which organizations bill Medicare for Carmen Gardner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Gardner reassigns Medicare benefits to 3 organizations: Reid Physician Associates, Inc. (Richmond, IN), Hospital Medicine Services Of Maine LLC (Ellsworth, ME) and Maine Medical Services LLC (Ellsworth, ME). Each 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 Carmen Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carmen Gardner accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Carmen Gardner 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 Carmen Gardner affiliated with any hospitals?
According to CMS data, Carmen Gardner is affiliated with Reid Health.
When was this NPI record last updated?
The NPPES record for Carmen Gardner was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Carmen S Gardner, MD · NPI 1831594647
Internal Medicine physician in Richmond, Indiana. Individual provider, active in the CMS NPPES registry since October 23, 2014.
## Identity
- **NPI:** 1831594647 (Entity type: Individual)
- **Enumerated:** October 23, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 01080131A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 REID PKWY, Richmond, IN 47374-1157
- **Phone:** (765) 983-3492 · **Fax:** (765) 983-7958
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Reid Physician Associates, Inc. (NPI 1265689111, Richmond, IN); Hospital Medicine Services Of Maine LLC (NPI 1538638432, Ellsworth, ME); Maine Medical Services LLC (NPI 1053878371, Ellsworth, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** August 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1831594647) · Data from the CMS NPPES public registry.