1. Home
  2. Directory
  3. Connecticut
  4. Stamford
  5. Specialist
  6. NPI Profile

PETER GARDNER M.D.
NPI 1972590578
Specialist in Stamford, CT

Active since September 29, 2005Opted out of Medicare · through Jan 1, 2027
92 JORDAN LN, STAMFORD, CT 06903(203) 940-2995(203) 547-6194 Get Directions Write a Review

NPPES record last updated: March 21, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Peter Gardner M.d. NPPES

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

PETER GARDNER M.D. (NPI 1972590578) is an individual specialist in Stamford, Connecticut, licensed in Connecticut (024317) and active in the NPI registry since September 2005. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972590578
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NamePETER GARDNERCredential: M.D.
Location Address92 JORDAN LNStamford, CT 06903-3914
Mailing Address92 Jordan LaneStamford, CT 06903 · (203) 940-2995 · Fax (203) 547-6194
Phone(203) 940-2995
Fax(203) 547-6194
Sole ProprietorYes
Enumeration DateSeptember 29, 2005
Last NPPES UpdateMarch 21, 2016
✔ NPI 1972590578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CT · 024317
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
92 JORDAN LN, Stamford, CT 06903
Open in Google Maps ↗

Other Identifiers 7

Other010027907CT01Bc/bs Id #
Other024317Ct Care Id #
Medicare UPINB37694
Other4125202Aetna
Other020183Healthnet Id #
Other061246885United Heatlhcare Id #
Other25013Oxford Id #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Peter Gardner M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2015 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2015
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Peter Gardner's NPI number?

The NPI number for Peter Gardner is 1972590578. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Peter Gardner located?

Peter Gardner practices at 92 Jordan Ln, Stamford, CT 06903. The listed phone number is (203) 940-2995.

What is Peter Gardner's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Peter Gardner enrolled in Medicare?

No. Peter Gardner has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Peter Gardner was last updated on March 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.