KOURTNEY G. GARDNER (M.D.) – Allergy & Immunology Physician, NPI 1194168666
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
78 ALLERGY/IMMUNOLOGY in KY
Provider Addresses for KOURTNEY G. GARDNER (M.D.)
2724 NASHVILLE RD
BOWLING GREEN, KY 421014000
Phone: (270) 780-0560
Fax: (270) 780-0467
Type: Location
201 PARK ST
BOWLING GREEN, KY 421011708
Phone: (270) 780-0560
Fax: (270) 780-0467
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 122 Open Payments records for all available years, with a total value of $2,848.
Total Amount is formed as General ($2,848) + Research ($0) + Ownership ($0) = $2,848.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($333).
Total Amount
$2,848
General + Research + Ownership
Payments
122
Total payment records
General Amount
$2,848
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-08-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190805000731 | I | Allergy/Immunology | KY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J2357 | Injection, omalizumab, 5 mg | 6,360 | 17 | $0 |
| 95004 | Test for allergy using allergenic extract | 1,206 | 20 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 455 | 39 | $0 |
| 86003 | Measurement of antibody (ige) to allergic substance, crude allergen extract, each | 336 | 12 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 272 | 27 | $0 |
Insurance plans in this area (ZIP 42101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| U R O L O G Y | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY |
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