JENNIFER M GARDNER (MD) – Dermatology Physician, NPI 1558427146
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
393 DERMATOLOGY in WA
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Provider Addresses for JENNIFER M GARDNER (MD)
UWMC Roosevelt I, 4225, Roosevelt Way Northeast, West Campus, University District, Seattle, King County, Washington, 98105, United States
SEATTLE, WA 981056099
Phone: (206) 598-4067
Type: Location
PO BOX 50095
SEATTLE, WA 981455095
Phone: (206) 543-6420
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $624.
Total Amount is formed as General ($624) + Research ($0) + Ownership ($0) = $624.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: ABBVIE INC. ($355).
Total Amount
$624
General + Research + Ownership
Payments
26
Total payment records
General Amount
$624
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $355 |
| GENZYME CORPORATION | $134 |
| MAYNE PHARMA COMMERCIAL LLC | $56 |
| Dermavant Sciences, Inc. | $31 |
| Amgen Inc. | $26 |
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: 2012-11-26
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20121126000166 | I | Dermatology | WA | 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 98105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| Plastic And Reconstructive Surgery | WA |
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