PETER GARDNER M.D.
NPI 1972590578
Specialist in Stamford, CT
- Individual
- Male
- Specialist
- PECOS Enrolled
- Opted-Out Medicare
About PETER GARDNER
This page provides the complete NPI Profile along with additional information for Peter Gardner, a provider established in Stamford, Connecticut with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1972590578 assigned on September 2005. The practitioner's primary taxonomy code is 174400000X with license number 024317 (CT). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1972590578 Verify this NPI
- Provider Name
- PETER GARDNER M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 92 JORDAN LN STAMFORD, CT 06903
- Location Phone
- (203) 940-2995
- Location Fax
- (203) 547-6194
- Mailing Address
- 92 JORDAN LANE STAMFORD, CT 06903
- Mailing Phone
- (203) 940-2995
- Mailing Fax
- (203) 547-6194
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-29-2005
- Last Update Date
- 03-21-2016
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Peter Gardner opted out of Medicare effective on 01-01-2015 until 01-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 024317
- License State
- CT
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 010027907CT01 | OTHER (01) | BC/BS ID # | |
| 024317 | OTHER (01) | CT CARE ID # | |
| B37694 | MEDICARE UPIN (02) | ||
| 4125202 | OTHER (01) | AETNA | |
| 020183 | OTHER (01) | HEALTHNET ID # | |
| 061246885 | OTHER (01) | UNITED HEATLHCARE ID # | |
| 25013 | OTHER (01) | OXFORD ID # |
Medicare Participation & PECOS Enrollment Status
Peter Gardner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2015
Opt-Out End Date: 01-01-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for PETER GARDNER M.D.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972590578, enumerated as an "individual" on September 29, 2005.
The provider is located at 92 JORDAN LN STAMFORD, CT 06903 and the phone number is (203) 940-2995.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid, Aetna. Please consult your insurance carrier or call the provider to verify.
