Active NPI
Luke Spencer-Gardner, MD
- Orthopaedic Surgery Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME142376
- Practice address
- 4500 San Pablo Rd S
Jacksonville, FL 32224-1865 - Phone
- (904) 953-2000
- NPI assigned
- Jun 11, 2010
- Last updated
- Aug 31, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME142376 | FL | Primary |
| Orthopaedic Surgery Physician | 207X00000X | Q8795 | TX |
Addresses
Primary practice location
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Mailing address
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000
Other practice location 1
3900 Junius St
Suite 705
Dallas, TX 75246-1615
Phone (214) 820-9520
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lspencergardner1193772@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2010
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Effingham Rehab Services, LLC
Practice addresses (Care Compare)
22 W Oglethorpe Ave
Savannah, GA 31401-3702
Phone (912) 443-1400
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000
PO Box
Melrose, FL 32666-1099
Hospital & facility affiliations
- Brooks Rehabilitation Home Health
- Brooks Rehabilitation Home Health
- Mayo Clinic
- Brooks Rehabilitation Hospital University Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 124 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Jacksonville | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Mayo Clinic Jacksonville | Current | Accepting new patients |
Locations
4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
12230 Coit Rd
Ste 100
Dallas, TX 75251
Phone (214) 252-7020
3900 Junius St
Ste 500
Dallas, TX 75246
Phone (214) 823-7090
3900 Junius St
Ste 705
Dallas, TX 75246
Phone (214) 820-9520
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
Interoperability endpoints
- lspencergardner1193772@ehrdirect.mayoclinicmsg.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1790772317
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
dba Lake Area Physical Therapy & Aquatics
- Physical Therapist
- Melrose, FL
- NPI 1376682518
-
dba Mayo Clinic Home Infusion Pharmacy
- Home Infusion Therapy Pharmacy
- Jacksonville, FL
- NPI 1003510116
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Daytona Beach, FL
- NPI 1568041333
-
dba Brooks Rehabilitation Home Health
- Home Health Agency
- Jacksonville, FL
- NPI 1184895740
-
dba Brooks Rehabilitation Hospital Bartram Campus
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
Inpatient rehabilitation facility
-
dba Brooks Rehabilitation
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1891782470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1922328038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 SAN PABLO RD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322241865",
"telephone_number": "904-953-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 SAN PABLO RD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322241865",
"telephone_number": "904-953-2000"
}
],
"practiceLocations": [
{
"address_1": "3900 Junius St",
"address_2": "Suite 705",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752461615",
"country_code": "US",
"telephone_number": "214-820-9520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCER-GARDNER",
"first_name": "LUKE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-11",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME142376",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "Q8795",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lspencergardner1193772@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "4500 San Pablo Rd S",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322241865",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.