SHELBY MICHAEL GARDNER (MD) – Family Medicine Physician, NPI 1275038150
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,432 FAMILY PRACTICE in OH
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Provider Addresses for SHELBY MICHAEL GARDNER (MD)
Riverside Family Practice Center, 697, Thomas Lane, Olentangy West, Columbus, Sharon, Franklin, Ohio, 43214, United States
COLUMBUS, OH 432143931
Phone: (614) 566-5414
Type: Mailing
2139 AUBURN AVENUE
ATTN: PAYOR ENROLLMENT 4-7
CINCINNATI, OH 45219
Phone: (513) 351-9900
Type: Mailing
2830 VICTORY PARKWAY
PAYOR ENROLLMENT
CINCINNATI, OH 452061785
Phone: (513) 585-5507
Type: Mailing
7675 WELLNESS WAY STE 105
WEST CHESTER, OH 450692509
Phone: (513) 475-8264
Type: Location
1955 DIXIE HWY
FT WRIGHT, KY 410112792
Phone: (859) 341-6255
Fax: (859) 547-1197
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $224.
Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.
Last reported payment date: 2024-08-28 • Largest payer in this snapshot: ABBVIE INC. ($121).
Total Amount
$224
General + Research + Ownership
Payments
10
Total payment records
General Amount
$224
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $121 |
| ABIOMED | $90 |
| Pulmonx Corporation | $13 |
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: 2021-08-02
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 |
|---|---|---|---|---|
| I20210802001814 | I | Family Practice | OH | 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 | 87 | 55 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 72 | 59 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 27 | 23 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 26 | 24 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 20 | 20 | $0 |
Insurance plans in this area (ZIP 43214)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| - | KY | |
| - | KY | |
| Nurse Practitioner | OH | |
| P S Y C H I A T R Y | OH | |
| - | KY | |
| Family Practice | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| Nurse Practitioner | KY |
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