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

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  • 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
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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
A44393MEDICARE UPIN (02)CA 
00G303660MEDICARE ID-TYPE UNSPECIFIED (04)CA 
00G303660MEDICAID (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.
1023183829
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
204328684
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 = 99

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
1730254632DR. ANTHONY GALE MISZKLEVITZ D.C.
Individual
Chiropractor6300 E. HWY 20
LUCERNE, CA 95458
(707) 274-9299
1376609198LUCERNE COMMUNITY CLINIC
Organization
Clinic/Center (Rural Health)6300 E. HWY 20
LUCERNE, CA 95458
(707) 274-9299
1720125495MISS JENNIFER KLEIN MSN FNP RN
Individual
Nurse Practitioner6300 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
1023345857ROBERT W. GARDNER PSG-DR. GARDNER OUTPATIENT PROGRAM
Organization
Community/Behavioral Health6300 E. HWY 20
LUCERNE, CA 95458
(707) 274-9299
1285963413DR. GARDNER OUTPATIENT PROGRAM
Organization
Community/Behavioral Health6300 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
1649243437MR. JOSEPH GEARE P.A.
Individual
Physician Assistant (Medical)6300 E. HWY 20
LUCERNE, CA 95458
(101) 274-9299
1457569949PSG-DR. GARDNER OUTPATIENT PROGRAM
Organization
Community/Behavioral Health6300 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.