GLENDON M. GARDNER (M.D.) – Otolaryngology Physician, NPI 1871669242

GLENDON M. GARDNER (M.D.) is a healthcare provider. based in West bloomfield, Michigan. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 063874 (MI). The NPI Number for GLENDON M. GARDNER (M.D.) is 1871669242

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
GLENDON M. GARDNER (M.D.)
NPI
1871669242
Phone
(248) 661-7211
Address
6777 W MAPLE RD
Enumeration Date
28 November 2006
Last Update Date
10 March 2021

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2486614100
Graduation Year
1987 (39 years ago)
PAC ID
6608906441
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20100604000957
Address ID
MI483223013WE6777XRDXX400

Contacts

Secure Messaging
ggardner12933@direct.hfhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

428 OTOLARYNGOLOGY in MI

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Provider Addresses for GLENDON M. GARDNER (M.D.)

  • Henry Ford West Bloomfield Hospital, 6777, West Maple Road, West Bloomfield Township, Oakland County, Michigan, 48322, United States

    WEST BLOOMFIELD, MI 483223013

    Phone: (248) 661-7211

    Fax: (248) 661-6456

    Mailing address matches the actual address.

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: 2010-06-04

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
I20100604000957IOtolaryngologyMITBD

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
31579Exam to assess movement of vocal cord flaps using an endoscope223148$0
99213Established patient office or other outpatient visit, 20-29 minutes14191$0
99203New patient office or other outpatient visit, 30-44 minutes7777$0
99214Established patient office or other outpatient visit, 30-39 minutes6555$0
31575Diagnostic exam of voice box using a flexible endoscope3736$0
View full utilization report →

Insurance plans in this area (ZIP 48322)

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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: 0547178311View full group profile
NameSpecialtyState
-MI
Gastroenterology, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)MI
Clinical Social WorkerMI
-MI
Physician AssistantMI
Qualified AudiologistMI
O P H T H A L M O L O G YMI
-MI
-MI

Reviews

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Frequently asked questions

What NPI should I save for GLENDON M. GARDNER (M.D.)?
Save NPI 1871669242 if you need a stable reference for GLENDON M. GARDNER (M.D.).
Is GLENDON M. GARDNER (M.D.) currently active in the NPI registry?
CMS-published data lists GLENDON M. GARDNER (M.D.) as an active registrant.
Does GLENDON M. GARDNER (M.D.) list a primary specialty?
If you are matching referrals, note Otolaryngology Physician for GLENDON M. GARDNER (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place GLENDON M. GARDNER (M.D.)?
The snapshot lists West Bloomfield, Michigan for GLENDON M. GARDNER (M.D.); download NPPES for the complete set.
What if West Bloomfield, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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