KENNETH A. GARDNER (M.D.) – Family Medicine Physician, NPI 1710976352
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
886 EMERGENCY MEDICINE in KY
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Provider Addresses for KENNETH A. GARDNER (M.D.)
800, East Liberty Street, Louisville, Jefferson County, Kentucky, 40204, United States
LOUISVILLE, KY 402021428
Phone: (502) 845-5672
Fax: (502) 845-1402
Type: Mailing
U of L Physicians, 150, Fairview Court, Eminence, Henry County, Kentucky, 40019, United States
EMINENCE, KY 40019
Phone: (502) 845-5672
Fax: (502) 845-1402
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-04-22
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 |
|---|---|---|---|---|
| I20040422000162 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 191 | 114 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 123 | 89 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 103 | 103 | $0 |
| 85610 | Blood test, clotting time | 94 | 18 | $0 |
| G0008 | Administration of influenza virus vaccine | 41 | 41 | $0 |
Insurance plans in this area (ZIP 40202)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | KY | 20610 | Aspiration and/or injection of large joint or joint capsule | 18 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| N E U R O S U R G E R Y | KY | |
| - | KY | |
| Internal Medicine | KY | |
| Orthopedic Surgery | KY | |
| Orthopedic Surgery | IL | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| N E U R O L O G Y | KY | |
| Orthopedic Surgery | KY |
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