Active NPI 1184616237 Individual Practitioner Male Practitioner

Dr. Michael J Gardner , MD

Internal Medicine • Albany, NY

Professional Overview & Biography Verified Profile Summary

Dr. Michael Gardner, MD is a registered healthcare professional specializing in Internal Medicine in Albany, NY. Practice services are available at 1444 WESTERN AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1444 Western Ave
Suite A

Albany, NY 122033458

Telephone 5184892812

Fax 5184892444

Associated Practice Facility / Clinic

🏢 Prime Care Physicians, P.l.l.c. Facility NPI 1871713636

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Albany, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.1 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

175 Specialists

Practicing in Albany, NY (12979 Statewide)

Telehealth Adoption Rate

12.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	121	$216.00	$100.69
99213 Established patient office or other outpatient visit, typically 15 minutes	59	53	$160.00	$72.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	43	43	$227.00	$53.59
81003 Automated urinalysis test	40	40	$7.00	$2.20
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$38.00	$13.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	20	$315.00	$123.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	461	266	$213.24	$90.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	139	99	$299.58	$104.87
81003 Automated urinalysis test	99	98	$7.00	$2.21
G0008 Administration of influenza virus vaccine	78	78	$75.00	$28.13
90662 Influenza vaccine split virus, preservative free	75	75	$49.60	$41.81
93000 Routine ekg using at least 12 leads including interpretation and report	68	64	$36.24	$14.03
99213 Established patient office or other outpatient visit, typically 15 minutes	63	58	$152.57	$79.81
0124A Fee covid-19 vac 13 res	31	31	$85.00	$37.72
36415 Insertion of needle into vein for collection of blood sample	29	28	$15.00	$2.95
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	22	22	$85.00	$38.00
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	14	12	$170.00	$34.87
G0009 Administration of pneumococcal vaccine	11	11	$72.27	$28.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	515	268	$210.00	$88.86
36415 Insertion of needle into vein for collection of blood sample	238	191	$15.00	$2.97
G0008 Administration of influenza virus vaccine	102	102	$50.00	$16.43
90662 Influenza vaccine split virus, preservative free	101	101	$40.69	$40.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	87	72	$283.00	$96.58
81003 Automated urinalysis test	72	68	$7.00	$2.25
99213 Established patient office or other outpatient visit, typically 15 minutes	56	48	$142.00	$77.33
93000 Routine ekg using at least 12 leads including interpretation and report	55	54	$33.00	$14.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$227.00	$60.54
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	29	$105.00	$52.27
0004A Fee covid-19 vac 1 res	23	23	$85.00	$38.81
81002 Urinalysis, manual test	14	14	$8.00	$3.48
G0009 Administration of pneumococcal vaccine	12	12	$65.00	$16.44
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$136.00	$90.69
0064A Adm sarscov2 50mcg/0.25mlbst	11	11	$85.00	$38.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	524	271	$210.00	$106.66
36415 Insertion of needle into vein for collection of blood sample	315	223	$15.00	$2.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	157	157	$227.00	$113.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	142	105	$283.00	$140.89
G0008 Administration of influenza virus vaccine	105	105	$30.76	$16.11
81003 Automated urinalysis test	105	99	$7.00	$2.21
93000 Routine ekg using at least 12 leads including interpretation and report	102	99	$33.00	$16.54
99213 Established patient office or other outpatient visit, typically 15 minutes	74	60	$142.00	$73.16
90653 Vaccine for influenza for injection into muscle	56	56	$77.00	$59.53
90662 Influenza vaccine split virus, preservative free	47	47	$45.96	$42.22
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	46	40	$105.00	$52.53
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	36	16	$81.00	$40.33
G0009 Administration of pneumococcal vaccine	29	29	$50.66	$16.22
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$162.00	$118.72
99443 Telephone medical discussion with physician, 21-30 minutes	17	14	$206.13	$107.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	537	258	$210.00	$105.75
36415 Insertion of needle into vein for collection of blood sample	301	215	$15.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	181	181	$227.00	$113.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	137	106	$283.00	$140.98
99213 Established patient office or other outpatient visit, typically 15 minutes	112	89	$142.00	$72.22
G0008 Administration of influenza virus vaccine	108	105	$30.00	$15.64
90662 Influenza vaccine split virus, preservative free	100	97	$40.00	$38.42
93000 Routine ekg using at least 12 leads including interpretation and report	92	89	$33.00	$16.44
81003 Automated urinalysis test	90	89	$7.00	$2.44
G0009 Administration of pneumococcal vaccine	39	39	$49.00	$15.12
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	34	33	$105.00	$51.77
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$157.68	$100.89
90670 Pneumococcal vaccine for injection into muscle	17	17	$264.24	$207.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	581	273	$210.00	$103.14
36415 Insertion of needle into vein for collection of blood sample	328	242	$15.00	$2.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	134	99	$283.00	$139.35
G0008 Administration of influenza virus vaccine	109	108	$30.00	$19.43
90662 Influenza vaccine split virus, preservative free	102	101	$40.00	$38.82
93000 Routine ekg using at least 12 leads including interpretation and report	93	92	$33.00	$16.10
99213 Established patient office or other outpatient visit, typically 15 minutes	89	74	$142.00	$70.31
81002 Urinalysis, manual test	81	79	$8.00	$3.37
G0009 Administration of pneumococcal vaccine	79	79	$49.00	$19.36
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	41	41	$143.00	$103.01
90670 Pneumococcal vaccine for injection into muscle	38	38	$206.00	$199.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	648	308	$213.60	$102.52
36415 Insertion of needle into vein for collection of blood sample	312	233	$15.00	$2.91
G0008 Administration of influenza virus vaccine	232	229	$30.00	$23.92
90662 Influenza vaccine split virus, preservative free	219	218	$40.10	$38.87
81002 Urinalysis, manual test	109	100	$8.00	$3.37
93000 Routine ekg using at least 12 leads including interpretation and report	102	99	$40.00	$15.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	91	69	$287.29	$133.60
99213 Established patient office or other outpatient visit, typically 15 minutes	86	73	$142.87	$68.94
G0009 Administration of pneumococcal vaccine	49	49	$49.00	$24.23
90670 Pneumococcal vaccine for injection into muscle	33	33	$206.00	$186.04
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$116.00	$93.51
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$24.79	$17.32

Medical Specialties & State Licenses

CMS Verified: 2021-05-19

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 146328

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00936847 (NY)

Practice Associates & Co-Workers

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

3 Associated Practitioners

Richard Clark , RPA-C

Physician Assistant

NPI 1033421243

RPAC

Dr. Iram Mall , MBBS

Family Medicine

NPI 1538573514

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Allison Drake , NP

Nurse Practitioner - Adult Health

NPI 1760799985

Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address May 19, 2021

Registered at PO BOX 14890, ALBANY, NY 122124890 (Tel: 5185255634)

✅

NPI Profile Active August 29, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 29, 2012

Registered at 1444 WESTERN AVE, SUITE A, ALBANY, NY 122033458 (Tel: 5184892812)

📍

Updated Business Mailing Address August 29, 2012

Registered at 1444 WESTERN AVE, SUITE A, ALBANY, NY 122033458 (Tel: 5184892812)

👤

Provider Name / Credentials Updated August 29, 2012

Recorded as MICHAEL GARDNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2012

Internal Medicine (License #146328 in NY)

🟢

Initial NPI Registration & Enumeration August 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1184616237

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 16, 2005

Last Update: May 19, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 14890

Albany, NY 122124890

Phone: 5185255634

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.