Medicare billing address
CMS Medicare provider billing file
1069 Delaware AveSuite 200
Marion, OH 43302
CMS public data · NPI 1932107489
CMS public files list billing, prescribing, location, and participation fields for this NPI. Current plan networks, appointment availability, clinical outcomes, and patient-specific medical advice require separate verification.
CMS display name
Raymond J Gardner, M.D.
Specialty
Credential
M.D.
NPI
1932107489
Primary source state
OH
Data retrieval date
July 28, 2026
Where these numbers come from, and what they cannot tell you
Public CMS records, 2024 reporting year. These are historical Medicare fields, not proof of current coverage, appointment availability, quality, or what someone will pay.
This page shows Medicare billing and Part D prescribing data for Raymond J Gardner, M.D. from CMS public files. It covers 2024 claims data: services billed, the beneficiary panel, and the most-prescribed Part D drugs. It does not show current coverage, appointment availability, or quality ratings.
A licensed agent, not a call center
Peter Abilla, Licensed Medicare Insurance Sales Agent, NPN 22265186. Bring the doctors and prescriptions that matter to you, then check the details before you enroll.
Medicare participating
Yes
Individual assignment
Yes
Group assignment
Yes
CMS opt-out records
0
When CMS files list more than one address for the same NPI, each address stays tied to the CMS file that reported it.
CMS Medicare provider billing file
1069 Delaware AveCMS Doctors & Clinicians file
1069 Delaware AveIn the 2024 CMS provider billing file, this NPI had 480 Medicare beneficiaries and 3,034 total services. The average beneficiary age was 74, and the average HCC risk score was 1.
Total Medicare allowed amount
$118,044.95
Total Medicare payment amount
$91,601.86
Medicare beneficiaries
480
Total services
3,034
These percentages describe the Medicare beneficiary panel in the CMS utilization file. They are not a diagnosis for any individual patient and are not a quality score.
Hypertension
75%
CMS beneficiary-panel share
Hyperlipidemia
69%
CMS beneficiary-panel share
Diabetes
29%
CMS beneficiary-panel share
Ischemic heart disease
26%
CMS beneficiary-panel share
Anxiety
24%
CMS beneficiary-panel share
Chronic kidney disease
21%
CMS beneficiary-panel share
Where these service numbers come from, and what they cannot tell you
Amounts shown are average Medicare-approved amounts per billed unit in CMS records. What a person pays depends on current coverage and cannot be read from this table alone.
| CMS service description | Services | Avg allowed |
|---|---|---|
| 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 | 297 | $16.18 |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 284 | $124.33 |
| Blood test, clotting time | 264 | $4.20 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 221 | $126.35 |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 192 | $87.32 |
| Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 100 | $47.35 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 94 | $22.19 |
| Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 75 | $43.88 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 71 | $61.35 |
| 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 | 55 | $51.89 |
Where these Part D numbers come from, and what they cannot tell you
CMS data reports historical prescription drug events attributed to NPI 1932107489. Formularies, copays, prior authorization, and step therapy rules vary by current coverage.
| Rank | Drug | Generic name | Total claims | 30-day fills | Total drug cost |
|---|---|---|---|---|---|
| 1 | Levothyroxine Sodium | Levothyroxine Sodium | 245 | 494.1 | $1,925.19 |
| 2 | Amlodipine Besylate | Amlodipine Besylate | 236 | 558.1 | $1,104.75 |
| 3 | Atorvastatin Calcium | Atorvastatin Calcium | 213 | 539 | $1,854.90 |
| 4 | Losartan Potassium | Losartan Potassium | 201 | 440.4 | $2,224.00 |
| 5 | Lisinopril | Lisinopril | 187 | 452.2 | $965.63 |
| 6 | Alendronate Sodium | Alendronate Sodium | 161 | 283.6 | $1,599.28 |
| 7 | Citalopram Hbr | Citalopram Hydrobromide | 135 | 256.2 | $1,220.27 |
| 8 | Gabapentin | Gabapentin | 132 | 210.4 | $1,881.01 |
| 9 | Omeprazole | Omeprazole | 128 | 290.5 | $1,284.03 |
| 10 | Hydrochlorothiazide | Hydrochlorothiazide | 123 | 245.4 | $783.50 |
CMS Part D records are historical aggregate claims data. They do not include current formulary status, pharmacy price, prior-authorization rules, network-directory status, or clinical-outcome data.
Medical school
Ohio State University College Of Medicine
Graduation year
1979
Group/practice field
Oh Independent Medical Group Llc
Telehealth reported
Yes
Verify plan-directory status, drug formulary rules, pharmacy pricing, appointment availability, and clinical questions against current plan documents and the relevant provider or care team.
The numbers above come from CMS public-use files for this NPI. Each link identifies the CMS release used and the retrieval date.