LAURENCE BERNARD GARDNER M.D.
NPI 1962430462
Internal Medicine in Miami, FL

Q: What is Laurence Gardner's NPI number?

The NPI number for Laurence Gardner is 1962430462. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Q: What is Laurence Gardner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Laurence Gardner was last updated on March 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

1475 NW 12TH AVE, MIAMI, FL 33136(305) 243-1253(305) 243-9060 Get Directions Write a Review

NPPES record last updated: March 26, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Laurence Bernard Gardner M.d. NPPES

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

LAURENCE BERNARD GARDNER M.D. (NPI 1962430462) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME22093) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1967).

NPPES Registry Identity

NPI1962430462

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameLAURENCE BERNARD GARDNERCredential: M.D.

Location Address1475 NW 12TH AVEMiami, FL 33136-1002

Mailing Address1475 Nw 12th AveMiami, FL 33136-1002 · (305) 243-1253 · Fax (305) 243-9060

Phone(305) 243-1253

Fax(305) 243-9060

Sole ProprietorNo

Medical School CMSHarvard Medical SchoolGraduated 1967

Enumeration DateJune 30, 2006

Last NPPES UpdateMarch 26, 2014

✔ NPI 1962430462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME22093

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.

Also ListedHospitalistTaxonomy 208M00000X · License ME22093 (FL)

1475 NW 12TH AVE, Miami, FL 33136

Open in Google Maps ↗

Other Identifiers 3

Medicare PIN91933FL

Medicaid0538035-00FL

Medicare UPIND79495FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Laurence Bernard 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 ID3577750454

PECOS Enrollment IDI20101203000804

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

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

20 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

81.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.45

Promoting Interoperability

100

Improvement Activities

Cost

50.59

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

2 suppliers17 claims160 services$0.07 avg. paid by Medicare

Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6238

DME-Medical/Surgical Supplies · category DA023N

2 suppliers24 claims641 services$21.97 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing A6403

DME-Medical/Surgical Supplies · category DA023N

2 suppliers25 claims2,125 services$0.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MS. ALISSETTE NAVEDA ARNP

Nurse Practitioner (Family)

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-5360

WALTER G BRADLEY

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

1475 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33136

Miami-Dade County (305) 243-7520

DR. EVAN H SCHLAM MD

Dermatology

1475 NW 12TH AVE, BOX 016960
MIAMI, FL 33136

Miami-Dade County (305) 243-7688

DR. NESTOR RICARDO VILLAMIZAR M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-2363

MS. LINDSAY MARIE THORNTON MD

Radiology (Vascular & Interventional Radiology)

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-5512

DR. GLENDA C HARRIS PH.D., L.AC.

Acupuncturist

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-1470

IVAYLO MIHAYLOV

Radiology (Radiation Oncology)

1475 NW 12TH AVE, SUITE 1500
MIAMI, FL 33136

Miami-Dade County (305) 243-8223

LOURDES MESTRE VALDES APRN

Nurse Practitioner (Gerontology)

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-4902

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 Laurence Gardner's NPI number?

The NPI number for Laurence Gardner is 1962430462. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Laurence Gardner located?

Laurence Gardner practices at 1475 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 243-1253.

What is Laurence Gardner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Laurence Gardner enrolled in Medicare?

Yes. Laurence 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 Laurence Gardner accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Laurence 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 Laurence Gardner was last updated on March 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.