Individual provider Active NPI

Preston Alden Gardner, D.O.

  • Plastic Surgery Physician
  • Naples, FL
National Provider Identifier
1861784449
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
OS21708 Issued in FL
Practice address
2235 Venetian CT Ste 1
Naples, FL 34109-8728
Phone
(239) 596-9337
Fax
(239) 596-9466
NPI assigned
May 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 02005587A IN
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X OS21708 FL Primary
Surgery Physician 208600000X 5101019137 MI

Addresses

Primary practice location

2235 Venetian CT Ste 1
Naples, FL 34109-8728

Mailing address

2235 Venetian CT Ste 1
Naples, FL 34109-8728
Phone (239) 596-9337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241227000884 FL Practitioner - Plastic and Reconstructive Surgery 8325332240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
West Virginia School of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqua Dermatology of Florida, PAGroup PAC ID 1153390414, 184 clinicians
Woodruff Institute LLCGroup PAC ID 1658351101, 22 clinicians

Practice addresses (Care Compare)

11020 Rca Ctr Dr
Suite 2010
Palm Beach Gardens, FL 33410-4277
Phone (561) 258-9561

2235 Venetian CT
Suite 1
Naples, FL 34109-8728
Phone 2395969337610

Merit-based Incentive Payment System (MIPS)

Final score
93.59 of 100Reported as group
Quality
89.18
Promoting interoperability
99
Improvement activities
40
Cost
90.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision141
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS21708FLMDPlastic Surgery Physician
5101019137MIMDSurgery Physician
02005587AINMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Wayne Dermatology Consultants Inc Multi-Specialty CurrentSince Jul 1, 2019 Accepting new patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Feb 1, 2025 Accepting new patients
Aqua Dermatology of Florida, PA Multi-Specialty CurrentSince Feb 1, 2025 Accepting new patients
Woodruff Institute LLC Multi-Specialty CurrentSince Jan 5, 2026 Accepting new patients

Locations

160 John F Kennedy Dr
Ste 204
Atlantis, FL 33462

1333 3rd Ave S
Ste 201
Naples, FL 34102
Phone (239) 307-4605

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

2235 Venetian Ct
Ste 1
Naples, FL 34109
Phone (239) 596-9337

600 Village Square Xing
Palm Beach Gardens, FL 33410
Phone (561) 693-0540

11020 Rca Center Dr
Ste 2010
West Palm Bch, FL 33410
Phone (561) 258-9561

900 Village Square Xing
Ste 290
West Palm Beach, FL 33410
Phone (239) 313-2517

7881 Carnegie Blvd
Fort Wayne, IN 46804

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: pgardner@fwderm.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1861784449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 VENETIAN CT STE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341098728",
            "telephone_number": "239-596-9337",
            "fax_number": "239-596-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 VENETIAN CT STE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341098728",
            "telephone_number": "239-596-9337",
            "fax_number": "239-596-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "PRESTON",
        "middle_name": "ALDEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-13",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IN",
            "license": "02005587A",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "OS21708",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101019137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.