Active NPI
Jeffrey Paul Gardiner, D.O.
- Ophthalmology Physician
- Provo, UT
National Provider Identifier
1336465566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 34011221
- Practice address
- 1055 N 300 W
Suite 204
Provo, UT 84604-3344 - Phone
- (801) 357-7373
- Fax
- (801) 357-7217
- NPI assigned
- Apr 13, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 34011221 | OH | Primary |
Addresses
Primary practice location
1055 N 300 W
Suite 204
Provo, UT 84604-3344
Mailing address
1055 N 300 W
Suite 204
Provo, UT 84604-3344
Phone (801) 357-7373
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jeffreygardiner@direct-address.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150709002420 | UT | Practitioner - Ophthalmology | 3173740677 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 N 300 W
Suite 204
Provo, UT 84604-3374
Phone (801) 357-7373
Hospital & facility affiliations
- Intermountain Health Utah Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 92.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 374 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Valley Eye Center Inc | Current | Accepting new patients |
Locations
1055 N 300 W
Ste 204
Provo, UT 84604
Phone (801) 357-7373
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 3
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": "1271116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1336465566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N 300 W",
"address_2": "SUITE 204",
"city": "PROVO",
"state": "UT",
"postal_code": "846043344",
"telephone_number": "801-357-7373",
"fax_number": "801-357-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N 300 W",
"address_2": "SUITE 204",
"city": "PROVO",
"state": "UT",
"postal_code": "846043344",
"telephone_number": "801-357-7373",
"fax_number": "801-357-7217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDINER",
"first_name": "JEFFREY",
"middle_name": "PAUL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-13",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "34011221",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jeffreygardiner@direct-address.net",
"affiliation": "N",
"address_1": "1055 N 300 W",
"address_2": "Suite 204",
"city": "Provo",
"state": "UT",
"country_code": "US",
"postal_code": "846043344",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.