TIMOTHY LEE GARDNER M.D.
NPI 1861482465
Dermatology in Johnson City, TN

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1009 N STATE OF FRANKLIN ACCESS RD, JOHNSON CITY, TN 37604(423) 929-7546(423) 929-7968 Get Directions Write a Review

NPPES record last updated: June 1, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy Lee Gardner M.d. NPPES

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

TIMOTHY LEE GARDNER M.D. (NPI 1861482465) is an individual dermatology provider in Johnson City, Tennessee, licensed in Tennessee (38003) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Riverside Walter Reed Hospital, and is a graduate of University Of Virginia School Of Medicine (1993).

NPPES Registry Identity

NPI1861482465
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameTIMOTHY LEE GARDNERCredential: M.D.
Location Address1009 N STATE OF FRANKLIN ACCESS RDJohnson City, TN 37604-3693
Mailing Address1009 N State Of Franklin Access RdJohnson City, TN 37604-3693 · (423) 929-7546 · Fax (423) 929-7968
Fax(423) 929-7968
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1993
Enumeration DateOctober 25, 2005
Last NPPES UpdateJune 1, 2009
NPI 1861482465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in TN · 38003
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 38003 (TN)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 38003 (TN)
1009 N STATE OF FRANKLIN ACCESS RD, Johnson City, TN 37604

Other Identifiers 2

Medicare ID-Type Unspecified3893938TN
Medicare UPINI03402TN

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

Timothy Lee Gardner 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 ID1355331547
PECOS Enrollment IDI20180905003222
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 19

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
4,899 services996 patients
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.
1,613 services1,313 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
1,593 services1,273 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
721 services640 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
710 services664 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
645 services572 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490130
Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County
Emergency services

Rappahannock General Hospital

Critical Access Hospitals · Kilmarnock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491308
Location101 Harris RoadKilmarnock, VA 22482 · Lancaster County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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 Timothy Gardner's NPI number?

The NPI number for Timothy Gardner is 1861482465. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Timothy Gardner located?

Timothy Gardner practices at 1009 N State Of Franklin Access Rd, Johnson City, TN 37604. The listed phone number is (423) 929-7546.

What is Timothy Gardner's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Timothy Gardner enrolled in Medicare?

Yes. Timothy 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.

Is Timothy Gardner affiliated with any hospitals?

According to CMS data, Timothy Gardner is affiliated with Riverside Walter Reed Hospital and Rappahannock General Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Gardner was last updated on June 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.