DR. MARY S GARDNER (M.D.) – Radiation Oncology Physician, NPI 1508859703

DR. MARY S GARDNER (M.D.) is a healthcare provider. based in Davenport, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. ME59197 (FL). The NPI Number for DR. MARY S GARDNER (M.D.) is 1508859703

Main info

Female
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY S GARDNER (M.D.)
NPI
1508859703
Phone
(863) 421-7276
Address
171 WEBB DR
Enumeration Date
24 August 2005
Last Update Date
16 September 2025

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8136157260
Graduation Year
1984 (42 years ago)
PAC ID
3678472354
Group Practice PAC ID
2365679057
Professional Enrollment ID
I20031231000557
Address ID
FL336133905TA13901BLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

Provider Addresses for DR. MARY S GARDNER (M.D.)

  • 171 WEBB DR

    DAVENPORT, FL 338373944

    Phone: (863) 421-7276

    Fax: (863) 421-7109

    Type: Location

  • 46, 4th Street Southwest, Winter Haven, Polk County, Florida, 33880, United States

    WINTER HAVEN, FL 338802910

    Phone: (863) 294-2559

    Fax: (863) 293-1427

    Type: Mailing

  • 171 Webb Dr

    Davenport, FL 338373944

    Phone: (863) 421-7276

    Fax: (863) 421-7109

    Type: Location

  • 14055 RIVEREDGE DR STE 250

    TAMPA, FL 336372141

    Phone: (813) 929-5451

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $925.

Total Amount is formed as General ($925) + Research ($0) + Ownership ($0) = $925.

Last reported payment date: 2024-02-29 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($925).

Total Amount

$925

General + Research + Ownership

Payments

9

Total payment records

General Amount

$925

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-12-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031231000557IDiagnostic RadiologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77067Screening mammography890890$0
77063Screening 3d breast mammography843843$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)228223$0
77065Diagnostic mammography of 1 breast137121$0
77066Diagnostic mammography of both breasts134134$0
View full utilization report →

Insurance plans in this area (ZIP 33837)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365679057View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
-FL
Hospitalist, Internal MedicineFL
-FL
H O S P I T A L I S TCA
Hospitalist, Internal MedicineFL
-FL

Reviews

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Frequently asked questions

What is the registry number for DR. MARY S GARDNER (M.D.)?
The registry entry for DR. MARY S GARDNER (M.D.) shows NPI 1508859703.
Does the public listing show DR. MARY S GARDNER (M.D.) as active?
DR. MARY S GARDNER (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. MARY S GARDNER (M.D.) provide?
DR. MARY S GARDNER (M.D.)'s profile centers on Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Is DR. MARY S GARDNER (M.D.) tied to Davenport, Florida?
If you are local to Davenport, Florida, DR. MARY S GARDNER (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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