DR. JAMES GARDINER MD
NPI 1912010901
Orthopaedic Surgery in Lexington, KY

Q: What is James Gardiner's NPI number?

The NPI number for James Gardiner is 1912010901. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Q: What is James Gardiner's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for James Gardiner was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 August 16, 2006PECOS EnrolledAccepts Medicare Assignment

1207 S BROADWAY, LEXINGTON, KY 40504(859) 258-8575(859) 258-8562 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2025, Apr 3, 2025, Mar 10, 2023 (3 updates tracked since 2023).

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About Dr. James Gardiner Md NPPES

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

DR. JAMES GARDINER MD (NPI 1912010901) is an individual orthopaedic surgery provider in Lexington, Kentucky, licensed in Kentucky (35768) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of University Of Utah School Of Medicine (1999).

NPPES Registry Identity

NPI1912010901

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. JAMES GARDINERCredential: MD

Location Address1207 S BROADWAYLexington, KY 40504-2701

Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-6200 · Fax (859) 258-6203

Phone(859) 258-8575

Fax(859) 258-8562

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 1999

Enumeration DateAugust 16, 2006

Last NPPES UpdateApril 8, 20253 updates tracked since enumeration

NPPES CertifiedApril 8, 2025

✔ NPI 1912010901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in KY · 35768✔ Licensed in WA · MD00045395✔ Licensed in UT · 6769954-1205

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1207 S BROADWAY, Lexington, KY 40504

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Other Identifiers 2

Medicaid64082845KY

Medicaid942854057012UT

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. James Gardiner 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 ID8921076829

PECOS Enrollment IDI20040920000098, I20080211000393

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 4

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

238 services48 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.

134 services88 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

80 services80 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

67 services50 patients

Hospital Affiliations CMS Care Compare

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180010

LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

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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.

DR. ROBERT DALE OWEN JR. M.D.

Neurological Surgery