DR. MICHAEL OWEN GARDNER (M.D., MPH, MMM) – Maternal & Fetal Medicine Physician, NPI 1629001599
Maternal & Fetal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MICHAEL OWEN GARDNER (M.D., MPH, MMM)
1707 W Charleston Blvd Ste 110
Las Vegas, NV 891022352
Phone: (702) 671-5025
Fax: (702) 384-6396
Type: Location
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 782070903
Phone: (210) 358-5909
Fax: (918) 619-4216
Type: Mailing
4502 MEDICAL DR
SAN ANTONIO, TX 782294402
Phone: (210) 358-4000
Type: Location
Box, Sequoyah County, Oklahoma, United States
OKLAHOMA CITY, OK 731268838
Phone: (918) 619-4200
Fax: (918) 619-4216
Type: Mailing
West Charleston Boulevard, Rancho Charleston, Las Vegas, Clark County, Nevada, 89107, United States
LAS VEGAS, NV 891022352
Phone: (702) 671-5025
Fax: (702) 384-6396
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $257.
Total Amount is formed as General ($257) + Research ($0) + Ownership ($0) = $257.
Last reported payment date: 2023-12-05 • Largest payer in this snapshot: Abbott Laboratories ($257).
Total Amount
$257
General + Research + Ownership
Payments
5
Total payment records
General Amount
$257
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $257 |
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: 2023-02-28
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20151125000230 | I | Obstetrics/Gynecology | TX | TBD |
| I20230228003361 | I | Obstetrics/Gynecology | NM | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| General Surgery | CA | |
| - | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA |
Reviews
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