James Gardner, MD
NPI 1528039054 · Addiction Medicine (Family Medicine) Physician · Richmond, VA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Gardner, MD is a Addiction Medicine (Family Medicine) Physician provider in Richmond, VA (NPI 1528039054).
Provider details
- NPI number
- 1528039054
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101049730 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
242 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 172 | $99 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 70 | $67 |
Typical Medicare-allowed amounts for these services range $67–$99 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 38 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Buprenorphine Hcl/Naloxone Hclbrand: Buprenorphine-Naloxone | 439 | 58 |
| Gabapentin | 236 | 25 |
| Clonazepam | 199 | 21 |
| Buprenorphine Hcl/Naloxone Hclbrand: Suboxone | 89 | 11 |
| Quetiapine Fumarate | 78 | — |
| Mirtazapine | 57 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$91 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-01
- Last updated
- 2025-04-23
- Certified
- 2025-04-23
Frequently asked questions
- What is James Gardner's NPI number?
- James Gardner's National Provider Identifier (NPI) is 1528039054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Gardner's specialty?
- James Gardner is listed in the NPPES registry with a primary specialty of Addiction Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is James Gardner located?
- James Gardner's practice location on file with NPPES is 1510 N 28th St Ste 101, Richmond, VA 23223-5311.
- What is James Gardner's phone number?
- The practice phone number listed in the NPPES registry for James Gardner is (804) 521-0050.
- Does James Gardner accept Medicare?
- James Gardner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Gardner's NPI active?
- Yes — James Gardner's NPI (1528039054) is active in the NPPES registry as of the last update on 2025-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.