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DR. CARMEN S GARDNER MD
NPI 1831594647
Internal Medicine in Richmond, IN

Active since October 23, 2014PECOS EnrolledAccepts Medicare Assignment
1100 REID PKWY, RICHMOND, IN 47374(765) 983-3492(765) 983-7958 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2021, Nov 10, 2020, Jul 25, 2018 and 1 more (4 updates tracked since 2016).

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

NPI1831594647
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CARMEN S GARDNERCredential: MD
Location Address1100 REID PKWYRichmond, IN 47374-1157
Mailing Address1100 Reid PkwyRichmond, IN 47374-1157 · (765) 983-3492 · Fax (765) 983-7958
Phone(765) 983-3492
Fax(765) 983-7958
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 23, 2014
Last NPPES UpdateAugust 30, 20214 updates tracked since enumeration
NPPES CertifiedAugust 30, 2021
✔ NPI 1831594647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IN · 01080131A✔ Licensed in MI · 4301110893
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1100 REID PKWY, Richmond, IN 47374
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

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.

PECOS PAC ID6002104049
PECOS Enrollment IDI20191106000974
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 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.

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.
397 services364 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.
220 services205 patients

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, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150048
Location1100 Reid PkwyRichmond, IN 47374 · Wayne County
Emergency services Birthing friendly

Physician 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.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
69%72 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 20

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

JUSTIN VARGHESE
Internal Medicine
1100 REID PKWY
RICHMOND, IN 47374
Wayne County (765) 983-3000
MALLORY J CROSS PA
Student in an Organized Health Care Education/Training Program
1100 REID PKWY
RICHMOND, IN 47374
Wayne County (765) 983-3000
DR. JOHN E MCGINTY IV M.D.
Internal Medicine (Cardiovascular Disease)
1100 REID PKWY, SUITE 210
RICHMOND, IN 47374
Wayne County (765) 962-1337
THOMAS P. GLYNN JR. M.D.
Radiology (Diagnostic Radiology)
1100 REID PKWY
RICHMOND, IN 47374
Wayne County (765) 983-3000
SADIA KHAN MD
Student in an Organized Health Care Education/Training Program
1100 REID PKWY
RICHMOND, IN 47374
Wayne County (765) 983-3822
DR. TYLER BROOKS FREDENBURG MD
Radiology (Diagnostic Radiology)
1100 REID PKWY
RICHMOND, IN 47374
Wayne County (765) 983-3164
AHMAD S KHATRI MD
Family Medicine
1100 REID PKWY
RICHMOND, IN 47374
Wayne County (765) 983-3492
SHARON SMITH LAT, ATC
Specialist/Technologist (Athletic Trainer)
1100 REID PKWY
RICHMOND, IN 47374
Wayne County (765) 983-3000

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.

What insurance does Carmen Gardner accept?

Health plans from CareSource, 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 4 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.