CMS-1500 Box 24J / 33a • NPI
1275038150
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
1955 DIXIE HWY, FT WRIGHT, KY, 41011-2792
✓ 9-Digit EDI 837 ZIP+4 (41011-2792)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1275038150 (SHELBY MICHAEL GARDNER, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1275038150)
Medicare Beneficiaries
140
Total Billed Services
853
Distinct CPT/HCPCS Codes
39
Medicare Allowed Total
$50,657.25
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
81002 | Urinalysis, manual test | 16 |
87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 30 |
87804 | Detection test by immunoassay with direct visual observation for influenza virus | 47 |
90662 | Influenza vaccine split virus, preservative free | 29 |
90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 15 |
96127 | Assessment of emotional or behavioral problems | 22 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 26 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 73 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 51 | 26 |
| Alendronate Sodium Alendronate Sodium | 42 | 15 |
| Alprazolam Alprazolam | 23 | <11 |
| Amitriptyline Hcl Amitriptyline Hcl | 26 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 81 | 31 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 30 | 27 |
| Atorvastatin Calcium Atorvastatin Calcium | 192 | 65 |
| Azithromycin Azithromycin | 16 | 15 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1275038150 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SHELBY MICHAEL GARDNER, MD |
| Plain-English Specialty | Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: 207Q00000X (Family Medicine) |
| Certifying / Licensing Body | American Board of Family Medicine (ABFM) |
| Practice Location Address | 1955 DIXIE HWY, FT WRIGHT, KY, 41011-2792 |
| Practice Telephone / Fax | Tel: (859) 341-6255 | Fax: (859) 547-1197 |
| Administrative Mailing Address | 2139 AUBURN AVENUE, CINCINNATI, OH, 45219 |
| Enumeration & Last Sync | Enumerated: 2018-03-24 | CMS Record Updated: 2022-12-16 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207Q00000X)
What Does Taxonomy Code 207Q00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SHELBY MICHAEL GARDNER, MD)
Typical CPT / Diagnostic Procedures:- Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
- Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
- Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
- Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
- Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
- Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
- Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
- Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
- Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: KY | License: 57360 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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