Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972590578 Individual Practitioner Male Practitioner

Dr. Peter Gardner , MD

Specialist • Stamford, CT

Professional Overview & Biography Verified Profile Summary

Dr. Peter Gardner, MD is a registered healthcare professional specializing in Specialist in Stamford, CT. Practice services are available at 92 JORDAN LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

92 Jordan Ln

Stamford, CT 069033914

Telephone 2039402995
Fax 2035476194

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Stamford, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.3 Yrs
State Avg: 35.5 Yrs
Regional Practice Density
37 Specialists

Practicing in Stamford, CT (452 Statewide)

Telehealth Adoption Rate
5.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CT 024317

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bc/bs Id #
010027907CT01
Commercial Insurance / Payer ID Oxford Id #
25013
Commercial Insurance / Payer ID United Heatlhcare Id #
061246885
Commercial Insurance / Payer ID Aetna
4125202
Commercial Insurance / Payer ID Healthnet Id #
020183
Commercial Insurance / Payer ID Ct Care Id #
024317

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 21, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2016

Registered at 92 JORDAN LN, STAMFORD, CT 069033914 (Tel: 2039402995)

📍
Updated Business Mailing Address March 21, 2016

Registered at 92 JORDAN LANE, STAMFORD, CT 06903 (Tel: 2039402995)

👤
Provider Name / Credentials Updated March 21, 2016

Recorded as PETER GARDNER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2016

Specialist (License #024317 in CT)

🟢
Initial NPI Registration & Enumeration September 29, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972590578
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2005
Last Update: March 21, 2016
Sole Proprietor: Yes

Mailing Address

92 Jordan Lane

Stamford, CT 06903

Phone: 2039402995

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.