Individual provider Active NPI

Tyler Jon Gardner, MD

  • Orthopaedic Surgery Physician
  • Greendale, IN
National Provider Identifier
1124589700
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01096563A Issued in IN
Practice address
1600 Flossie Dr
Greendale, IN 47025-8424
Phone
(859) 301-2663
Fax
(859) 817-7848
NPI assigned
Mar 27, 2019
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35.154674 OH
Orthopaedic Surgery Physician 207X00000X 60953 KY
Orthopaedic Surgery Physician 207X00000X 01096563A IN Primary

Addresses

Primary practice location

1600 Flossie Dr
Greendale, IN 47025-8424

Mailing address

560 S Loop Rd
Edgewood, KY 41017-3405
Phone (859) 301-2663

Other practice location 1

560 S Loop Rd
Edgewood, KY 41017-3405
Phone (859) 301-2663

Other practice location 2

8251 Pine Rd Ste 212
Cincinnati, OH 45236-2194
Phone (513) 232-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, OH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250505002291 KY Practitioner - Orthopedic Surgery 0446585509 Reassigns benefits to 1 organization
I20250508000279 IN Practitioner - Orthopedic Surgery 0446585509 Reassigns benefits to 1 organization
I20260224003202 OH Practitioner - Orthopedic Surgery 0446585509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

1600 Flossie Dr
Greendale, IN 47025-8424
Phone (859) 301-2663

560 S Loop Rd
Edgewood, KY 41017-3405
Phone (859) 301-2663

7567 Central Parke Blvd
Mason, OH 45040-6852

8251 Pine Rd
Suite 212
Cincinnati, OH 45236-2194
Phone (513) 232-2663

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01096563AINMDOrthopaedic Surgery Physician
60953KYMDOrthopaedic Surgery Physician
35.154674OHMDOrthopaedic Surgery Physician
TP339KYMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocincy Orthopaedics & Sports Medicine PSC CurrentSince Apr 25, 2025 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Orthopaedic Surgery CurrentSince Apr 25, 2025 Accepting new patients

Locations

1600 Flossie Dr
Lawrenceburg, IN 47025
Phone (812) 539-2313

605 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 496-8779

2845 Chancellor Dr
Crestview Hills, KY 41017
Phone (859) 341-3412

560 S Loop Rd
Edgewood, KY 41017
Phone (859) 817-3599

2626 Alexandria Pike
Ste 100
Highland Heights, KY 41076
Phone (859) 817-3599

238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000

2123 Auburn Ave
Ste 630
Cincinnati, OH 45219
Phone (513) 585-1970

7910 Beechmont Ave
Cincinnati, OH 45255
Phone (859) 817-3599

8251 Pine Rd
Ste 212
Cincinnati, OH 45236
Phone 5138410222120

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1124589700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S LOOP RD",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173405",
            "telephone_number": "859-301-2663",
            "fax_number": "859-817-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 FLOSSIE DR",
            "city": "GREENDALE",
            "state": "IN",
            "postal_code": "470258424",
            "telephone_number": "859-301-2663",
            "fax_number": "859-817-7848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 S Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "KY",
            "postal_code": "410173405",
            "country_code": "US",
            "telephone_number": "859-301-2663",
            "fax_number": "859-817-7848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8251 Pine Rd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362194",
            "country_code": "US",
            "telephone_number": "513-232-2663",
            "fax_number": "859-817-7848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "TYLER",
        "middle_name": "JON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35.154674",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "60953",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01096563A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greendale, IN

Sources for this page

Verify at the official NPI Registry.