Active NPI 1174616619 Individual Practitioner Male Practitioner

Dr. Donald F Gardner , MD

Specialist • Houston, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Donald Gardner, MD is a certified Specialist practicing in Houston, TX. With approximately 53 years of clinical experience since completing medical education in 1973, Dr. Gardner delivers high-quality medical care to the local community at 1140 BUSINESS CENTER DR.

Dr. Gardner is affiliated with Memorial Endocrinology And Diabetes and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1140 Business Center Dr
Ste 550

Houston, TX 770432737

Telephone 7139848200

Fax 7139841113

Associated Practice Facility / Clinic

🏢 Surgical Associates Of Houston, P.a. Facility NPI 1316913478

Medicare Profile & Education

Medical School

Other

Graduation Year

1973

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

53 Yrs +14.6 yrs vs City Avg

City Avg: 38.4 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

323 Specialists

Practicing in Houston, TX (2033 Statewide)

Telehealth Adoption Rate

2.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

48.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gardner (53 Years) 53 Yrs

Houston Specialty Average (38.4 Years) 38.4 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	564	306	$149.95	$124.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	314	192	$205.00	$176.03
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	206	109	$100.00	$33.59
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	117	116	$15.75	$15.15
99213 Established patient office or other outpatient visit, typically 15 minutes	74	62	$105.00	$86.83
76536 Ultrasound of head and neck	25	25	$275.00	$102.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$300.00	$165.18
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	17	15	$500.00	$142.31

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	757	365	$150.00	$128.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	364	216	$205.00	$179.40
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	237	96	$100.00	$34.18
99213 Established patient office or other outpatient visit, typically 15 minutes	88	76	$105.00	$90.44
76536 Ultrasound of head and neck	32	29	$275.00	$106.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$300.00	$164.13
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	24	21	$500.00	$147.28
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$400.00	$223.13

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	908	379	$150.00	$131.63
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	187	78	$100.00	$35.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	124	84	$205.00	$184.25
99442 Telephone medical discussion with physician, 11-20 minutes	52	45	$150.00	$92.64
99213 Established patient office or other outpatient visit, typically 15 minutes	50	42	$105.90	$93.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$300.00	$172.19
76536 Ultrasound of head and neck	20	20	$275.00	$118.75
99441 Telephone medical discussion with physician, 5-10 minutes	13	13	$100.00	$57.85
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$85.00	$14.82
99443 Telephone medical discussion with physician, 21-30 minutes	11	11	$224.00	$132.14

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	1,124	428	$150.00	$133.30
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	223	85	$100.00	$35.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	83	68	$205.00	$186.19
99213 Established patient office or other outpatient visit, typically 15 minutes	71	59	$103.54	$93.51
99442 Telephone medical discussion with physician, 11-20 minutes	66	46	$149.55	$93.79
76536 Ultrasound of head and neck	34	34	$275.00	$122.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$300.00	$174.09
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$85.00	$15.37

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	828	399	$150.00	$110.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	236	152	$204.53	$150.08
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	171	75	$100.00	$37.18
99442 Telephone medical discussion with physician, 11-20 minutes	145	96	$150.00	$77.61
99213 Established patient office or other outpatient visit, typically 15 minutes	116	94	$105.00	$75.92
99443 Telephone medical discussion with physician, 21-30 minutes	96	76	$224.00	$112.57
76536 Ultrasound of head and neck	39	38	$275.00	$120.08
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	34	32	$150.00	$14.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$300.00	$169.78
99441 Telephone medical discussion with physician, 5-10 minutes	17	17	$100.00	$47.00

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	1,020	454	$150.00	$109.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	366	212	$205.00	$143.06
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	201	74	$100.00	$35.32
99213 Established patient office or other outpatient visit, typically 15 minutes	171	130	$105.00	$74.62
76536 Ultrasound of head and neck	61	61	$275.00	$113.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$300.00	$164.27
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$400.00	$209.52
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$85.00	$17.24

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	1,093	443	$150.00	$105.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	340	204	$205.00	$139.91
99213 Established patient office or other outpatient visit, typically 15 minutes	248	172	$105.00	$71.51
76536 Ultrasound of head and neck	67	64	$275.00	$113.81
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	65	41	$100.00	$35.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$300.00	$159.33
10022 Fine needle aspiration using imaging guidance	35	14	$305.00	$139.17
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$400.00	$200.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	16	$90.00	$43.17
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	23	14	$300.00	$59.20
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	18	17	$500.00	$151.55

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	1,028	439	$150.00	$103.83
99213 Established patient office or other outpatient visit, typically 15 minutes	520	329	$105.00	$71.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	162	126	$205.00	$138.59
76536 Ultrasound of head and neck	67	66	$275.00	$112.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$300.00	$160.67
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	51	35	$100.00	$43.12
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	42	42	$400.00	$202.10
10022 Fine needle aspiration using imaging guidance	31	16	$314.68	$138.51
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	28	27	$500.00	$153.77
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	20	16	$300.00	$59.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$90.00	$41.64

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX G5909

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

Medicaid State Provider ID

114356202 (TX)

Commercial Insurance / Payer ID Tax Id

760191917 (TX)

Commercial Insurance / Payer ID Bcbs

00QG37 (TX)

Commercial Insurance / Payer ID Group

1043401193 (TX)

Commercial Insurance / Payer ID Bcbs

1174616619 (TX)

Hospital & Practice Group Affiliations

Memorial Endocrinology And Diabetes

1140 Business Ctr Dr, Houston, TX 770432742

Phone: 7139848200

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Blessy Varughese , DO

Internal Medicine

NPI 1467985234

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 27, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 27, 2013

Registered at 1140 BUSINESS CENTER DR, STE 550, HOUSTON, TX 770432737 (Tel: 7139848200)

📍

Updated Business Mailing Address June 27, 2013

Registered at 1140 BUSINESS CENTER DR, STE 550, HOUSTON, TX 770432737 (Tel: 7139848200)

👤

Provider Name / Credentials Updated June 27, 2013

Recorded as DONALD GARDNER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2013

Specialist (License #G5909 in TX)

🟢

Initial NPI Registration & Enumeration October 02, 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: 1174616619

Entity Type:

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

Enumeration Date: October 02, 2006

Last Update: December 03, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1140 Business Center Dr, Ste 550

Houston, TX 770432737

Phone: 7139848200

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.