Active NPI
Lars Benjamin Gardner, D.O.
- Neurological Surgery Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 125056507
- Practice address
- 5838 Six Forks Rd
Suite 100
Raleigh, NC 27609-3885 - Phone
- (919) 785-3400
- NPI assigned
- Sep 30, 2010
- Last updated
- Jul 22, 2015
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 125056507 | IL | Primary |
Addresses
Primary practice location
5838 Six Forks Rd
Suite 100
Raleigh, NC 27609-3885
Mailing address
5838 Six Forks Rd
Suite 100
Raleigh, NC 27609-3885
Phone (919) 785-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5241 Six Forks Rd
Suite 100
Raleigh, NC 27609-4431
Phone (919) 785-3400
Hospital & facility affiliations
- Wakemed Home Health
- Wakemed, Raleigh Campus
- Wakemed, Cary Hospital
- Rex Hospital
- Unc Health Care Wayne
- Johnston Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 152 |
| Laminectomy or laminotomy (partial removal of spine bones) | 61 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125056507 | IL | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleigh Neurosurgical Clinic, Inc. | Neurological Surgery | Current | Accepting new patients |
| Raleigh Neurosurgical Clinic, Inc. | Neurological Surgery | Current | Accepting new patients |
| Wake Spine and Specialty Surgery Center LLC | Past | Accepting new patients |
Locations
12610 N Community House Rd
Ste 200
Charlotte, NC 28277
Phone (704) 405-1747
2605 Blue Ridge Rd
Ste 240
Raleigh, NC 27607
Phone (919) 277-9845
5838 Six Forks Rd
Ste 100
Raleigh, NC 27609
110 Capcom Ave
Ste 200
Wake Forest, NC 27587
Phone (919) 229-4046
Interoperability endpoints
- lgardner87131@directhisp.wakemed.org
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.
-
- Neurological Surgery Physician
- Raleigh, NC
- NPI 1598702490
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Goldsboro, NC
- NPI 1801660212
Neurological Surgery
-
dba Raleigh Neurosurgical and spine surgery center
- Ambulatory Surgical Clinic/Center
- Raleigh, NC
- NPI 1932782315
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Johnston Health
- General Acute Care Hospital
- Smithfield, NC
- NPI 1619911104
-
dba WakeMed Mental Health & Well-Being Hospital WakeBrook
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
dba UNC Health Wayne
- General Acute Care Hospital
- Goldsboro, NC
- NPI 1750353462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437523200000",
"number": "1477862969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5838 SIX FORKS RD",
"address_2": "SUITE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276093885",
"telephone_number": "919-785-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5838 SIX FORKS RD",
"address_2": "SUITE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276093885",
"telephone_number": "919-785-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "LARS",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-30",
"last_updated": "2015-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IL",
"license": "125056507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.