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Active NPI 1386676088 Individual Practitioner Male Practitioner

Dr. James Gardner , MD

Surgery - Plastic and Reconstructive Surgery • Summit, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Gardner, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Summit, NJ. With approximately 39 years of clinical experience since graduating from Rutgers New Jersey Medical School in 1987, Dr. Gardner delivers high-quality medical care to the local community at 33 OVERLOOK RD.

Dr. Gardner is affiliated with Practice Associates Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

33 Overlook Rd
Suite 310

Summit, NJ 079013563

Telephone 9089181969
Fax 9089181995
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Rutgers New Jersey Medical School

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Summit, NJ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
39 Yrs -1.0 yrs vs City Avg
City Avg: 40.0 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Summit, NJ (87 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gardner (39 Years) 39 Yrs
Summit Specialty Average (40.0 Years) 40.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
26 20 $150.00 $62.39
99213 Established patient office or other outpatient visit, typically 15 minutes
16 13 $247.00 $99.44
99202 New patient office or other outpatient visit, typically 20 minutes
15 15 $255.00 $79.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $364.00 $121.71

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License NJ 25MA05373600

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare
764314 (NJ)

Hospital & Practice Group Affiliations

Practice Associates Medical Group

100 Madison Ave, Morristown, NJ 079606136

Phone: 9739715596

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Elfie Wegner , RN P

Nurse Practitioner

NPI 1003993387

RNP

Dr. Chang Kweon , MD

Anesthesiology

NPI 1023078730

Doctor of Medicine (M.D.)

NPI 1023196979

Doctor of Medicine (M.D.)

Dr. Jason Byers , MD

Anesthesiology

NPI 1033170394

Doctor of Medicine (M.D.)

Dr. Joseph Altongy , MD

Orthopaedic Surgery

NPI 1053367417

Doctor of Medicine (M.D.)

Beverly Pranzatelli , PT

Physical Therapist

NPI 1063430486

Physical Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 30, 2016

Registered at 33 OVERLOOK RD, SUITE 310, SUMMIT, NJ 079013563 (Tel: 9089181969)

📍
Updated Business Mailing Address September 30, 2016

Registered at PO BOX 416457, BOSTON, MA 022416457

👤
Provider Name / Credentials Updated September 30, 2016

Recorded as JAMES GARDNER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2016

Surgery (License #25MA05373600 in NJ)

🟢
Initial NPI Registration & Enumeration July 06, 2006

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: 1386676088
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2006
Last Update: September 30, 2016
Sole Proprietor: Yes

Mailing Address

Po Box 416457

Boston, MA 022416457

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.