Tyler Jon Gardner, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Greendale, IN
NPI 1124589700 · NPPES record last updated Feb 11, 2026
Key facts
- NPI
- 1124589700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 01096563A (IN)
- Practice address
- 1600 Flossie Dr
Greendale, IN 47025-8424 - Phone
- (859) 301-2663
- Fax
- (859) 817-7848
- NPI assigned
- Mar 27, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthocincy Orthopaedics and Sports Medicine PSC
Oxford Physical Therapy and Rehabilitation
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
- St Elizabeth Home Care
- St Elizabeth Florence
- St Elizabeth Dearborn Hospital
- St Elizabeth Edgewood
- St Elizabeth Grant
- St Elizabeth Ft Thomas
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in KY, IN, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60953 | KY | MD | Orthopaedic Surgery Physician |
| 35.154674 | OH | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocincy Orthopaedics & Sports Medicine PSC | Current |
Accepting new patients | |
| Orthocincy Orthopaedics & Sports Medicine PSC | Orthopaedic Surgery | Current |
Accepting new patients |
Locations
605 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 496-8779
1600 Flossie Dr
Lawrenceburg, IN 47025
Phone (812) 539-2313
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
7910 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 474-8600
2123 Auburn Ave
Ste 630
Cincinnati, OH 45219
Phone (513) 585-1970
8251 Pine Rd
Ste 212
Cincinnati, OH 45236
Phone 5138410222120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 35.154674 | OH | |
| Orthopaedic Surgery Physician | 207X00000X | 60953 | KY | |
| Orthopaedic Surgery Physician | 207X00000X | 01096563A | IN | Yes |
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
Other providers in Greendale, IN
- Mary Catherine Doan
- East Indiana Comprehensive Treatment Center
- East Indiana Treatment Center, LLC
- Emily Eichinger
- Hannah Skott Ford
- Chad Garman
- James J Gibbs
- Aleah Pendergraff Gibson
- Kylie Goodall
- Greendale Emergency Rescue, Inc.
All providers in Greendale, IN · Orthopaedic Surgery Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.