COLLEEN GARDNER MD
NPI 1952861429
Obstetrics & Gynecology in Middletown, CT

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
49 CRESCENT ST, MIDDLETOWN, CT 06457(860) 358-3360(860) 358-3388 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2025, Mar 21, 2019 (2 updates tracked since 2019).

About Colleen Gardner Md NPPES

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

COLLEEN GARDNER MD (NPI 1952861429) is an individual obstetrics & gynecology provider in Middletown, Connecticut, licensed in Connecticut (081355) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1952861429
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCOLLEEN GARDNERCredential: MD
Location Address49 CRESCENT STMiddletown, CT 06457-3601
Mailing Address28 Crescent StMiddletown, CT 06457-3654 · (860) 358-6000 · Fax (860) 358-8661
Fax(860) 358-3388
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1952861429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CT · 081355
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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

Colleen 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 ID1759624869
PECOS Enrollment IDI20250802000118
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.

Medicare Billing Reassignment

Medicare enrollment records show Colleen Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
154 MAIN ST
Old Saybrook, CT 06475
  • Reassigned Medicare billing, Connecticut enrollment
  • 147 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

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.

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.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 10

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

Advanced Practice Midwife
49 CRESCENT ST
MIDDLETOWN, CT 06457
Nurse Practitioner
49 CRESCENT ST
MIDDLETOWN, CT 06457
Obstetrics & Gynecology
49 CRESCENT ST
MIDDLETOWN, CT 06457
Obstetrics & Gynecology
49 CRESCENT ST
MIDDLETOWN, CT 06457
Obstetrics & Gynecology
49 CRESCENT ST
MIDDLETOWN, CT 06457
Obstetrics & Gynecology
49 CRESCENT ST
MIDDLETOWN, CT 06457
Obstetrics & Gynecology
49 CRESCENT ST
MIDDLETOWN, CT 06457
Obstetrics & Gynecology
49 CRESCENT ST
MIDDLETOWN, CT 06457

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 Colleen Gardner's NPI number?

The NPI number for Colleen Gardner is 1952861429. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Colleen Gardner located?

Colleen Gardner practices at 49 Crescent St, Middletown, CT 06457. The listed phone number is (860) 358-3360.

What is Colleen Gardner's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Colleen Gardner enrolled in Medicare?

Yes. Colleen 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 organization bills Medicare for Colleen Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Gardner reassigns Medicare benefits to Mhs Primary Care (Old Saybrook, CT). The 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 Colleen Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Colleen Gardner accept?

Health plans from Anthem Blue Cross and Blue Shield list Colleen 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.

When was this NPI record last updated?

The NPPES record for Colleen Gardner was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.