Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Kevin Hall Gardner , DO

Dermatology • Provo, UT

Active NPI 1639490386 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1055 N 500 W, Ste 111
Provo, UT 846043305

Call 8013748999 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1055 N 500 W
Ste 111

Provo, UT 846043305

Telephone 8013748999
Fax 8014298063
Organization at the Same NPPES Address or Phone
No Roll Up Timpanogos Llc Facility NPI 1831153840

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Ihc Health Services Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2010

Medicare patients

604 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $388,327 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $289,347 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

296 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$285,409 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2023

All general payments: $48.56 across 3 records.

By nature of payment

  • Food and Beverage: $48.56 across 3 records.

Reporting-company totals

  • Salix Pharmaceuticals, a division of Bausch Health US, LLC: $48.56 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

16 years (graduated 2010)

CMS Doctors and Clinicians data list 2010 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Gardner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Gardner as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Provo and Utah

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 70% of clinicians listed under Dermatology in Utah (2024, 123 clinicians with data). Median for this group: 1,861. Middle half: 953 to 4,077.

Too few clinicians listed under Dermatology in Provo have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% of clinicians listed under Dermatology in Utah (2024, 123 clinicians with data). Median for this group: $105,609. Middle half: $50,802 to $207,855.

Too few clinicians listed under Dermatology in Provo have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 90% of clinicians listed under Dermatology in Utah (2024, 123 clinicians with data). Median for this group: $74,322. Middle half: $33,246 to $144,157.

Too few clinicians listed under Dermatology in Provo have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Dermatology in Utah (2024, 128 clinicians with data). Median for this group: 373. Middle half: 170 to 679.

Too few clinicians listed under Dermatology in Provo have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 90% of clinicians listed under Dermatology in Utah (2024, 128 clinicians with data). Median for this group: $13,021. Middle half: $3,904 to $112,079.

Too few clinicians listed under Dermatology in Provo have Medicare Part D data for 2024 to compare.

8 active clinicians are listed under Dermatology with a practice address in Provo, UT (179 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $48.56.

Manufacturer Payment Nature Product Type Amount ($)
Salix Pharmaceuticals, a division of Bausch Health US, LLC
Food and Beverage
In-kind items and services
XIFAXAN General $17.24
Salix Pharmaceuticals, a division of Bausch Health US, LLC
Food and Beverage
In-kind items and services
XIFAXAN General $16.38
Salix Pharmaceuticals, a division of Bausch Health US, LLC
Food and Beverage
In-kind items and services
XIFAXAN General $14.94

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
1,318 236 $16.00 $6.11
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
404 326 $205.00 $85.80
17000 Destruction of precancer skin growth, 1 growth
379 308 $165.00 $46.66
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks
275 218 $1550.00 $508.53
11102 Biopsy of related skin growth, first growth
135 122 $233.00 $80.08
17110 Destruction of skin growth, 1-14 growths
93 84 $258.90 $95.28
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks
89 66 $941.00 $384.77
17004 Destruction of precancer skin growth, 15 or more growths
79 71 $387.00 $156.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
65 65 $252.85 $106.06
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
64 60 $616.00 $173.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
58 56 $289.00 $121.70
12052 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm
46 43 $725.00 $151.05
11103 Biopsy of related skin growth, each additional growth
36 29 $116.00 $41.63
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks
35 25 $1455.00 $485.49
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
34 31 $1080.00 $220.36
15260 Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less
29 27 $2276.00 $933.05
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
22 21 $560.00 $114.83
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less
21 20 $1752.00 $709.62
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm
19 19 $703.26 $144.98
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
18 16 $409.00 $121.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
17 17 $377.00 $159.17
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
16 15 $639.00 $122.81
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less
14 14 $652.00 $141.78
13121 Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm
14 14 $975.00 $199.04
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm
14 14 $1139.00 $233.22

(top 25 shown)

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Triamcinolone Acetonide Triamcinolone Acetonide 71 2,504 $1,193.90 61
Ketoconazole Ketoconazole 37 1,065 $542.98 18
Cephalexin Cephalexin 27 195 $209.31 26
Clobetasol Propionate Clobetasol Propionate 27 697 $1,026.60 20
Hydrocortisone Hydrocortisone 21 546 $150.74 15
Cosentyx Sensoready (2 Pens) Secukinumab 20 756 $156,732.76 —
Jublia Efinaconazole 18 610 $14,228.75 —
Clindamycin Phosphate Clindamycin Phosphate 13 330 $337.79 —
Minoxidil Minoxidil 13 390 $152.00 —
Taltz Autoinjector Ixekizumab 12 322 $110,834.52 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-09-08
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

License # reported to NPPES UT 9332631-1204

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Dermatology

NUCC Taxonomy Code: 207N00000X

License # reported to NPPES MN 54109

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

License # reported to NPPES UT 9332631-1204

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - DERMATOLOGY

Medicare Enrollment ID

I20150529001377

Enrollment State Jurisdiction

UT

PECOS Control ID

1153592241

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Ihc Health Services Inc

700 S Hwy 99, Fillmore, UT 846315137

Phone: 8013574600

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
NPI 1811955800

Doctor of Medicine (M.D.)

Dr. Jake Fagan , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1548688989

Doctor of Medicine (M.D.)

NPI 1669715819

Doctor of Medicine (M.D.)

Nicole Rawle , APRN

Nurse Practitioner

NPI 1669777314

Advanced Practice Registered Nurse

Jaddon Rogers , PA-C

Physician Assistant

NPI 1134638810

Physician Assistant (Certified)

NPI 1407943921

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2021

Student in an Organized Health Care Education/Training Program

âś…
NPI Profile Active May 15, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) May 15, 2015

Registered at 1055 N 500 W, STE 111, PROVO, UT 846043305 (Tel: 8013748999)

📍
Business Mailing Address (Initial Record) May 15, 2015

Registered at 1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 846043305 (Tel: 8013748999)

👤
Provider Name / Credentials (Initial Record) May 15, 2015

Recorded as KEVIN GARDNER, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2015

Dermatology (license number reported to NPPES: UT 9332631-1204)

🟢
Initial NPI Registration & Enumeration June 17, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639490386
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2010
Last Update: September 08, 2021
Sole Proprietor: No

Other Dermatology Specialists in Provo

Healthcare providers in Provo

Mailing Address

1055 N 500 W, Attn: Credentialing

Provo, UT 846043305

Phone: 8013748999

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.