TYRELL LANCELOT GARDNER (MD) – Vascular & Interventional Radiology Physician, NPI 1083105050
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,529 DIAGNOSTIC RADIOLOGY in VA
Provider Addresses for TYRELL LANCELOT GARDNER (MD)
500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 236011929
Phone: (757) 594-2000
Type: Location
East Marshall Street, Jackson Ward, Richmond, Richmond City, Virginia, 23219, United States
RICHMOND, VA 232985051
Phone: (804) 828-2755
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $703.
Total Amount is formed as General ($703) + Research ($0) + Ownership ($0) = $703.
Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Inari Medical, Inc. ($570).
Total Amount
$703
General + Research + Ownership
Payments
7
Total payment records
General Amount
$703
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $570 |
| Boston Scientific Corporation | $133 |
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: 2024-09-09
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 |
|---|---|---|---|---|
| I20240909002246 | I | Diagnostic Radiology | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Physician Assistant | VA | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | MI | |
| - | VA |
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