JACOB A GARDNER MD
NPI 1992025654
Radiology - Diagnostic Radiology in Hershey, PA

Q: What is Jacob Gardner's NPI number?

The NPI number for Jacob Gardner is 1992025654. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Q: What is Jacob Gardner's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Gardner was last updated on July 3, 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 04, 2010PECOS EnrolledAccepts Medicare Assignment

71.78/100

CMS Quality Rating

500 UNIVERSITY DR, HERSHEY, PA 17033(717) 531-8521 Get Directions Write a Review

NPPES record last updated: July 3, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jacob A Gardner Md NPPES

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

JACOB A GARDNER MD (NPI 1992025654) is an individual diagnostic radiology provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD451895) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Temple University School Of Medicine (2009).

NPPES Registry Identity

NPI1992025654

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJACOB A GARDNERCredential: MD

Location Address500 UNIVERSITY DRHershey, PA 17033-2360

Mailing Address500 University DrHershey, PA 17033-2360 · (717) 531-8521

Phone(717) 531-8521

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 2009

Enumeration DateJune 4, 2010

Last NPPES UpdateJuly 3, 2014

✔ NPI 1992025654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in PA · MD451895

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

500 UNIVERSITY DR, Hershey, PA 17033

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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

Jacob A 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 ID2264659184

PECOS Enrollment IDI20140815001518, I20251003000168

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 Reassignments

Medicare enrollment records show Jacob Gardner reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Milton S Hershey Medical Center Physicians Group

0.1 mi

Orthopaedic Surgery

500 UNIVERSITY DR
Hershey, PA 17033

Reassigned Medicare billing, Pennsylvania enrollment
2,216 clinicians in this Medicare group

NPI 1710951744 (800) 243-1455

Penn State Health Medical Group, LLC

3.0 mi

Family Medicine

100 CRYSTAL A DR
Hershey, PA 17033

Reassigned Medicare billing, Pennsylvania enrollment
994 clinicians in this Medicare group

NPI 1457110793 (833) 774-3627

Florida Radiology Imaging At Lake Mary, LLC

835 mi

Diagnostic Radiology

960 RINEHART RD STE 1000
Lake Mary, FL 32746

Reassigned Medicare billing, Florida and Pennsylvania enrollments
433 clinicians in this Medicare group

NPI 1740256494 (855) 241-2455

Florida Hospital Medical Group Inc

849 mi

Diagnostic Radiology

601 E ROLLINS STREET
Orlando, FL 32803

Reassigned Medicare billing, Florida and Pennsylvania enrollments
428 clinicians in this Medicare group

NPI 1073785044 (407) 200-2355

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 18

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.

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

247 services234 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

203 services176 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

180 services171 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

103 services102 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

67 services65 patients

Ct scan of abdomen and pelvis before and after contrast 74178

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

65 services61 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

59 services57 patients

Mri scan of abdomen before and after contrast 74183

An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.

47 services47 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

39 services39 patients

Imaging for evaluation of swallowing function 74230

This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.

34 services34 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

31 services31 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

28 services28 patients

Mri scan of pelvis before and after contrast 72197

An MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.

25 services25 patients

X-ray of abdomen, 1 view 74018

23 services23 patients

Double contrast x-ray of esophagus 74221

A double contrast x-ray of the esophagus is a diagnostic procedure that uses a special type of x-ray and a contrast material to capture detailed images of your esophagus. This helps in identifying any abnormalities or issues.

18 services18 patients

Ct scan of abdomen before and after contrast 74170

A CT scan of the abdomen before and after contrast is a diagnostic procedure. It involves taking detailed images of your abdomen area. Initially, images are taken without a contrast agent. Then, a contrast dye is given to highlight specific areas inside your body, helping to provide clearer images for better diagnosis.

17 services16 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

14 services14 patients

Single contrast x-ray of esophagus 74220

A single contrast x-ray of the esophagus is a non-invasive procedure where a radiopaque substance is swallowed to highlight the esophagus. This allows doctors to capture clear images of the area, aiding in the diagnosis of any abnormalities or issues.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100014

Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County

Emergency services

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100057

Location1000 Waterman WayTavares, FL 32778 · Lake County

Birthing friendly

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100068

Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County

Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390256

Location500 University DriveHershey, PA 17033 · Dauphin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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.

71.78/100

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

Scored as part of a group practice

Quality

48.32

Promoting Interoperability

100

Improvement Activities

Cost

57.63

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.

MR. DANIEL MICHAEL WEISS I PA-C

Physician Assistant

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-7299

NICOLE SWALLOW M.D.

Internal Medicine

500 UNIVERSITY DR, H088
HERSHEY, PA 17033

Dauphin County (717) 531-1692

NEERAV GOYAL M.D.

Otolaryngology

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-8521

KARIMA C FITZGERALD M.D.

Surgery (Trauma Surgery)

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-8887

DR. ANTHONY SIMON BONAVIA M.D.

Anesthesiology (Critical Care Medicine)

500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033

Dauphin County (717) 531-8521

DR. HIROKO SHIKE MD

Pathology (Clinical Pathology/Laboratory Medicine)

500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033

Dauphin County (717) 531-8615

MARIUM TARIQ M.D.

Family Medicine

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-8521

KANTHI BANGALORE KRISHNA MBBS

Pediatrics (Pediatric Endocrinology)

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (800) 243-1455

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 Jacob Gardner's NPI number?

The NPI number for Jacob Gardner is 1992025654. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Where is Jacob Gardner located?

Jacob Gardner practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (717) 531-8521.

What is Jacob Gardner's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jacob Gardner enrolled in Medicare?

Yes. Jacob 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 organizations bill Medicare for Jacob Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Gardner reassigns Medicare benefits to 4 organizations: The Milton S Hershey Medical Center Physicians Group (Hershey, PA), Penn State Health Medical Group, LLC (Hershey, PA), Florida Radiology Imaging At Lake Mary, LLC (Lake Mary, FL) and Florida Hospital Medical Group Inc (Orlando, FL). Each 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 Jacob Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jacob Gardner affiliated with any hospitals?

According to CMS data, Jacob Gardner is affiliated with Adventhealth Orlando, Adventhealth New Smyrna Beach, Adventhealth Waterman, Adventhealth Daytona Beach and Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Gardner was last updated on July 3, 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.