DR. JAMES LARIMER III GARDNER (MD) – Family Medicine Physician, NPI 1194766162
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
6,103 FAMILY PRACTICE in PA
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Provider Addresses for DR. JAMES LARIMER III GARDNER (MD)
150, North New Castle Street, New Wilmington, Lawrence County, Pennsylvania, 16142, United States
NEW WILMINGTON, PA 161421019
Phone: (724) 946-3564
Fax: (724) 946-2156
Type: Mailing
1995 MERCER NEW WILMINGTON RD
NEW WILMINGTON, PA 161422021
Phone: (724) 946-3564
Fax: (724) 946-2156
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 332 Open Payments records for all available years, with a total value of $6,228.
Total Amount is formed as General ($6,228) + Research ($0) + Ownership ($0) = $6,228.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($752).
Total Amount
$6,228
General + Research + Ownership
Payments
332
Total payment records
General Amount
$6,228
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $752 |
| GlaxoSmithKline, LLC. | $665 |
| Novo Nordisk Inc | $561 |
| AstraZeneca Pharmaceuticals LP | $366 |
| PFIZER INC. | $351 |
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: 2005-09-09
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 |
|---|---|---|---|---|
| I20050909000405 | I | Family Practice | PA | 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 | 502 | 242 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 139 | 43 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 109 | 109 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 67 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 67 | 13 | $0 |
Insurance plans in this area (ZIP 16142)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | PA | 90670 | Pneumococcal vaccine for injection into muscle | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| - | PA | |
| Family Practice | PA | |
| Physician Assistant | PA | |
| Internal Medicine, Pediatric Medicine | PA |
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