STEPHANIE C GARDNER (MD) – Emergency Medicine Physician, NPI 1063447274
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
408 EMERGENCY MEDICINE in NM
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Provider Addresses for STEPHANIE C GARDNER (MD)
Presbyterian Medical Group Northside Urgent Care, 5901, Harper Drive Northeast, Albuquerque, Bernalillo County, New Mexico, 87109, United States
PROVIDER ENROLLMENT
ALBUQUERQUE, NM 871093587
Phone: (505) 823-8528
Fax: (505) 823-8555
Type: Mailing
Presbyterian Hospital, 1100, Central Avenue Southeast, Martinez Town, Albuquerque, Bernalillo County, New Mexico, 87106, United States
ALBUQUERQUE, NM 871064930
Phone: (505) 841-1125
Fax: (505) 841-1737
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: 2007-11-09
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 |
|---|---|---|---|---|
| I20071109000239 | I | Emergency Medicine | CA | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 204 | 201 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 119 | 119 | $0 |
| 93042 | Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 45 | 45 | $0 |
| 99291 | Critical care, first 30-74 minutes | 36 | 36 | $0 |
Insurance plans in this area (ZIP 87109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | CA | |
| N E U R O L O G Y | CA | |
| Marriage And Family Therapist | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| P A T H O L O G Y | CA | |
| Nurse Practitioner | CA | |
| N E U R O L O G Y | CA | |
| - | CA | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | CA |
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