ROBERT WILLIAM GARDNER
NPI 1023183829
Family Medicine - Addiction Medicine in Lucerne, CA
NPI Status: Active since November 21, 2006
Contact Information
6300 E. HWY 20
LUCERNE, CA
ZIP 95458
Phone: (707) 274-9299
Fax: (707) 274-9297
- Individual
- Male
- Family Medicine
- Addiction Medicine
- PECOS Enrolled
About ROBERT GARDNER
This page provides the complete NPI Profile along with additional information for Robert Gardner, a provider established in Lucerne, California with a medical specialization in Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1023183829 assigned on November 2006. The practitioner's primary taxonomy code is 207QA0401X with license number G30366 (CA). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1023183829
- Provider Name
- ROBERT WILLIAM GARDNER
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6300 E. HWY 20 LUCERNE, CA 95458
- Location Phone
- (707) 274-9299
- Location Fax
- (707) 274-9297
- Mailing Address
- 10458 CHATTEN COURT CLEARLAKE OAKS, CA 95423
- Mailing Phone
- (707) 274-9299
- Mailing Fax
- (707) 274-9297
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-21-2006
- Last Update Date
- 11-01-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Addiction Medicine
- Taxonomy Code
- 207QA0401X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G30366
- License State
- CA
- Taxonomy Description
- A family medicine physician who specializes in the diagnosis and treatment of addictions.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
A44393 | MEDICARE UPIN (02) | CA | |
00G303660 | MEDICARE ID-TYPE UNSPECIFIED (04) | CA | |
00G303660 | MEDICAID (05) | CA |
Medicare Participation & PECOS Enrollment Status
Robert Gardner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
1 DME suppliers used 27 Medicare Claims 27 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
1 DME suppliers used 54 Medicare Claims 54 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 95458 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $133.94
- Minimum New Patient Price $58.87
- Maximum New Patient Price $176.6
- Average New Patient Copayment $33.48
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.15
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.36
- Minimum Established Patient Price $19.28
- Maximum Established Patient Price $144.6
- Average Established Patient Copayment $25.84
- Minimum Established Patient Copayment $4.82
- Maximum Established Patient Copayment $36.15
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 2 | 3 | 1 | 8 | 3 | 8 | 2 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 4 | 3 | 2 | 8 | 6 | 8 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 4 + 3 + 2 + 8 + 6 + 8 + 4 + 24 = 61 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 61 = 9 | 9 |
The NPI number 1023183829 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1730254632 | DR. ANTHONY GALE MISZKLEVITZ D.C. Individual | Chiropractor | 6300 E. HWY 20 LUCERNE, CA 95458 (707) 274-9299 |
1376609198 | LUCERNE COMMUNITY CLINIC Organization | Clinic/Center (Rural Health) | 6300 E. HWY 20 LUCERNE, CA 95458 (707) 274-9299 |
1720125495 | MISS JENNIFER KLEIN MSN FNP RN Individual | Nurse Practitioner | 6300 E. HWY 20 LUCERNE, CA 95458 (707) 274-9299 |
1669680120 | JAMES WILKIE Individual | Counselor (Addiction (Substance Use Disorder)) | 6300 E. HWY 20 LUCERNE, CA 95458 (707) 274-9299 |
1841401825 | DENNIS MASON Individual | Counselor (Addiction (Substance Use Disorder)) | 6300 E. HWY 20 LUCERNE, CA 95458 (707) 274-9299 |
1437360492 | MAUREEN CONWAY Individual | Counselor (Addiction (Substance Use Disorder)) | 6300 E. HWY 20 LUCERNE, CA 95458 (707) 274-9299 |
1598958076 | STEVE MUELLER Individual | Counselor (Addiction (Substance Use Disorder)) | 6300 E. HWY 20 LUCERNE, CA 95458 (707) 274-9299 |
1235311630 | ELLIOTT BENNETT Individual | Counselor (Addiction (Substance Use Disorder)) | 6300 E. HWY 20 LUCERNE, CA 95458 (707) 349-0629 |
1023345857 | ROBERT W. GARDNER PSG-DR. GARDNER OUTPATIENT PROGRAM Organization | Community/Behavioral Health | 6300 E. HWY 20 LUCERNE, CA 95458 (707) 274-9299 |
1285963413 | DR. GARDNER OUTPATIENT PROGRAM Organization | Community/Behavioral Health | 6300 E. HWY 20 LUCERNE, CA 95458 (707) 274-9299 |
1194969113 | LORI CARTER-RUNYON CASII, CSC, NCACI, Individual | Counselor (Addiction (Substance Use Disorder)) | 6300 E. HWY 20 LUCERNE, CA 95458 (707) 274-8171 |
1649243437 | MR. JOSEPH GEARE P.A. Individual | Physician Assistant (Medical) | 6300 E. HWY 20 LUCERNE, CA 95458 (101) 274-9299 |
1457569949 | PSG-DR. GARDNER OUTPATIENT PROGRAM Organization | Community/Behavioral Health | 6300 E. HWY 20 LUCERNE, CA 95458 (707) 274-9299 |
1881700599 | LYNN BROOKES NP Individual | Nurse Practitioner (Family) | 6300 E. HWY 20 LUCERNE, CA 95458 (707) 274-9299 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023183829, enumerated in the NPI registry as an "individual" on November 21, 2006
The provider is located at 6300 E. Hwy 20 Lucerne, Ca 95458 and the phone number is (707) 274-9299
The provider's speciality is Family Medicine with taxonomy code 207QA0401X with a focus in Addiction Medicine
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $133.94 with an average copayment of $33.48 for new patient appointments. Established patients should expect a typical charge of $103.36 and an average copayment of 25.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on November 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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