Kevin Hall Gardner, DO
NPI 1639490386ActiveIndividual· Dermatology· Provo, UT
Dermatology (DO) with Ihc Health Services Inc, practicing in Provo, Utah. In 2024 Medicare paid $327,261 for 604 patients, and Part D covered 358 of their prescriptions, 82% of them generic. Lists Intermountain Health Heber Valley Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1639490386 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Jun 17, 2010 |
| Last updated in NPPES | Sep 8, 2021 |
| Certified by provider | Sep 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 9332631-1204 | UT |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
| Dermatology | 207N00000X | 54109 | MN |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 9332631-1204 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dermatology (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 604 |
|---|---|
| Services billed | 3,560 across 87 procedure codes |
| Paid by Medicare | $327,261 |
Part D prescriptions in 2024
| Prescriptions (claims) | 358 · 437 30-day fills |
|---|---|
| Patients | 180 |
| Total drug cost | $384,064 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Dermatology |
Medical group
- Ihc Health Services IncMurray, UT · 3,960 clinicians
Hospital affiliations
- Intermountain Health Heber Valley HospitalHeber City, UT
- Park City HospitalPark City, UT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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