Active NPI
Kent Eric Gardner, M.D.
- Facial Plastic Surgery Physician
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 371391-1205
- Practice address
- 1490 E Foremaster Dr
Suite 350
St George, UT 84790-4488 - Phone
- (435) 628-3334
- Fax
- (435) 628-3375
- NPI assigned
- Aug 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 371391-1205 | UT | Primary |
Addresses
Primary practice location
1490 E Foremaster Dr
Suite 350
St George, UT 84790-4488
Mailing address
1490 E Foremaster Dr
Suite 350
St George, UT 84790-4488
Phone (435) 628-3334
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 |
|---|---|---|---|---|
| I20040913000393 | UT | Practitioner - Otolaryngology | 0547234536 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Utah School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Utah Ear Nose and Throat LLC
Practice addresses (Care Compare)
617 E Riverside Dr
Suite 201
St George, UT 84790-8721
Phone (435) 628-3334
Hospital & facility affiliations
- St. George Regional Hospital
- Intermountain Health Cedar City Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.42 of 100
- Quality
- 65.48
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 60.1
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.59 of 100
- Quality
- 83.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 16.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 29 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Utah Ear Nose & Throat LLC | Otolaryngology | Current | Accepting new patients |
| Kent E Gardner, M.D., P.C. | Past | Accepting new patients |
Locations
617 E Riverside Dr
Ste 201
St George, UT 84790
Phone (435) 628-3334
1490 E Foremaster Dr
Ste 350
St George, UT 84790
Phone (435) 251-5980
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- St George, UT
- NPI 1679733869
Otolaryngology, UT
-
- Specialist
- St George, UT
- NPI 1538298617
Hospital & facility affiliations 2
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": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1881702355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 E FOREMASTER DR",
"address_2": "SUITE 350",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847904488",
"telephone_number": "435-628-3334",
"fax_number": "435-628-3375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 E FOREMASTER DR",
"address_2": "SUITE 350",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847904488",
"telephone_number": "435-628-3334",
"fax_number": "435-628-3375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "KENT",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-26",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "UT",
"license": "371391-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.