MRS. BEVERLY JOAN GARDNER (PA-C) – Medical Physician Assistant, NPI 1629089065
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
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Provider Addresses for MRS. BEVERLY JOAN GARDNER (PA-C)
131, South Webb Avenue, Grassland Addition, Crossville, Cumberland County, Tennessee, 38555, United States
CROSSVILLE, TN 385558452
Phone: (931) 484-5379
Fax: (931) 484-5946
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)
CMS reports 59 Open Payments records for all available years, with a total value of $902.
Total Amount is formed as General ($902) + Research ($0) + Ownership ($0) = $902.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($283).
Total Amount
$902
General + Research + Ownership
Payments
59
Total payment records
General Amount
$902
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $283 |
| Novo Nordisk Inc | $101 |
| ABBVIE INC. | $67 |
| AstraZeneca Pharmaceuticals LP | $58 |
| Amgen Inc. | $47 |
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: 2005-05-13
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 |
|---|---|---|---|---|
| I20050513000176 | I | Physician Assistant | TN | 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 | 508 | 175 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 205 | 37 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 94 | 48 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 53 | 38 | $0 |
| 81002 | Urinalysis, manual test | 43 | 26 | $0 |
Insurance plans in this area (ZIP 38555)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TN | 83036 | Hemoglobin A1C level | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN | |
| Physician Assistant | TN |
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