DR. MATTHEW J GARDINER (MD) – Psychiatry Physician, NPI 1629084710

DR. MATTHEW J GARDINER (MD) is a healthcare provider. based in Park city, Utah. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 475067-1205 (UT). The NPI Number for DR. MATTHEW J GARDINER (MD) is 1629084710

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW J GARDINER (MD)
NPI
1629084710
Phone
(801) 510-2543
Address
6672 SERVICEBERRY DR
Enumeration Date
31 July 2006
Last Update Date
31 January 2025

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8317698740
Graduation Year
1996 (30 years ago)
PAC ID
9133148794
Group Practice PAC ID
2466345632
Professional Enrollment ID
I20190220002910
Address ID
CA939603550SO359XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,130 PSYCHIATRY in CA

Provider Addresses for DR. MATTHEW J GARDINER (MD)

  • 6672 SERVICEBERRY DR

    PARK CITY, UT 840981518

    Phone: (801) 510-2543

    Fax: (801) 614-7067

    Type: Mailing

  • 299 12TH ST

    MARINA, CA 939336003

    Phone: (831) 647-7652

    Type: Location

  • 808, Spring Pond Drive, Woodridge Twin Homes, Farmington, Davis County, Utah, 84025, United States

    FARMINGTON, UT 840253853

    Phone: (801) 510-2543

    Fax: (801) 614-7067

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2023-05-17 • Largest payer in this snapshot: Alkermes, Inc. ($72).

Total Amount

$91

General + Research + Ownership

Payments

4

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-02-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190220002910IPsychiatryCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 84098)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466345632View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DR. MATTHEW J GARDINER (MD) for billing?
Administrative and clinical systems typically use NPI 1629084710 for DR. MATTHEW J GARDINER (MD).
Quick check: is DR. MATTHEW J GARDINER (MD) active?
Public NPPES data shows DR. MATTHEW J GARDINER (MD) with an active NPI status right now.
What type of care does DR. MATTHEW J GARDINER (MD) provide?
DR. MATTHEW J GARDINER (MD)'s profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. MATTHEW J GARDINER (MD)?
The directory associates DR. MATTHEW J GARDINER (MD) with Park City, Utah. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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