DR. JAMES MATTHEW GARDNER (MD) – Family Medicine Physician, NPI 1528039054
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
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Provider Addresses for DR. JAMES MATTHEW GARDNER (MD)
Campus Drive, Abingdon, Washington County, Virginia, 24210, United States
SUITE 200
ABINGDON, VA 242109703
Phone: (276) 628-1186
Fax: (276) 628-8507
Type: Location
1510 N 28TH ST STE 101
RICHMOND, VA 232235311
Phone: (804) 521-0050
Fax: (833) 973-3890
Type: Location
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 $216.
Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($146).
Total Amount
$216
General + Research + Ownership
Payments
4
Total payment records
General Amount
$216
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $146 |
| Indivior Inc. | $69 |
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: 2005-12-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1013 days ago).
Enrollment records
1
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| I20051220000715 | I | Family Practice | VA | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | 275 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 22 | $0 |
Insurance plans in this area (ZIP 24210)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | TN | |
| Mental Health Counselor | VA | |
| - | VA | |
| General Surgery | VA | |
| P S Y C H I A T R Y | VA | |
| General Surgery | VA |
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