CHARLES WILLIAM JR. GARDNER (M.D.) – Family Medicine Physician, NPI 1881763670
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 CHARLES WILLIAM JR. GARDNER (M.D.)
4401, Ford Avenue, John Adams, Fort Ward Heights, Alexandria, Virginia, 22302, United States
SUITE 250
ALEXANDRIA, VA 223021473
Phone: (703) 647-4962
Fax: (703) 379-5380
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 61 Open Payments records for all available years, with a total value of $1,302.
Total Amount is formed as General ($1,302) + Research ($0) + Ownership ($0) = $1,302.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novo Nordisk Inc ($254).
Total Amount
$1,302
General + Research + Ownership
Payments
61
Total payment records
General Amount
$1,302
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $254 |
| Amgen Inc. | $250 |
| PFIZER INC. | $157 |
| ABBVIE INC. | $156 |
| Lilly USA, LLC | $102 |
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: 2011-07-14
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 |
|---|---|---|---|---|
| I20110714000359 | I | Family Practice | DC | 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 2,040 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 403 | 229 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 361 | 199 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 207 | 207 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 182 | 169 | $0 |
Insurance plans in this area (ZIP 22302)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | VA | 90670 | Pneumococcal vaccine for injection into muscle | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| Internal Medicine, Pediatric Medicine | VA | |
| Family Practice | VA | |
| Internal Medicine | VA | |
| Internal Medicine | VA | |
| N E P H R O L O G Y | VA | |
| Internal Medicine, Family Practice | VA | |
| Internal Medicine | VA | |
| Family Practice | VA |
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