2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1407242373
Verify on CMS →

Kevin Gardner

Critical Care Medicine (Internal Medicine) Physician in Oakland, California. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,631 in Critical Care Medicine (Internal Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
31
Medicare Part D claims · 25 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
MIPS score
73.6/100
▼ 10 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Kevin Gardner reported a CMS MIPS final score of 73.6/100 - below the 83.1 national average - and filed 31 Medicare Part D claims in 2023.

73.6/100
MIPS score · -10 vs avg
31
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Kevin Gardner's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

74 11th percentile higher than 11% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Kevin Gardner sits

This provider among critical care medicine (internal medicine) physician peers

Across the 1,643 critical care medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kevin Gardner writes more Part D claims than 7% of them and scores higher on MIPS quality than 10% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 68Kevin Gardner-Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 10
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one critical care medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is Kevin Gardner. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Kevin Gardner practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Kevin Gardner?

Below national average

NPI registry status

Active

Issued 04/08/2015

NPI 1407242373

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

31 97% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

73.6/100 9.5 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in California

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among California providers

California providers

Largest specialties in California (% of in-state providers)

Behavior Technician - 17.3%Behavior Technician17.3%Marriage & Family Therapist - 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Pharmacist - 3.5%Pharmacist3.5%Clinical Social Worker - 3.1%Clinical Social Worker3.1%Critical Care Medicine (Internal Medicine) Physician - 0.1%Critical Care Medicine (Internal Medicine) Physician0.1%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Kevin Gardner's 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
73.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) - 73.6/100 vs national avg 83.1

0%100%National avg83%73.6%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) - 73.6/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Kevin Gardner appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider at 1411 E 31ST ST, Oakland, CA, 94602, with a listed phone of (510) 437-8356. NPI 1407242373 was issued on 04/08/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Gardner most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 31 prescription claims written by this provider, covering 25 Medicare beneficiaries and totaling roughly $2K in drug spend. These figures capture only Medicare Part D, commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.6/100 for the 2023 performance year (Quality 75.8, Cost 51.4), compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1411 E 31ST ST
Oakland, CA 94602

Provider Details

NPI 1407242373
Specialty Critical Care Medicine (Internal Medicine) Physician
Gender Male
NPI Issued 04/08/2015

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

73.5637
Final Score
Avg: 83.1
75.8435
Quality
51.4318
Cost
74
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Kevin Gardner bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Alameda Health System
Oakland, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context - California MBC 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Kevin Gardner. To verify Kevin Gardner's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

31
Total Claims
$2K
Total Drug Cost
25
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
39
Total Day Supply
778
Generic Drug Cost
$250

Patient Demographics

Average Patient Age
75.5 years
Avg HCC Risk Score
1.95

Critical Care Medicine (Internal Medicine) Physician Overview

How Kevin Gardner fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

Kevin Gardner's 31 claims are below the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Gardner.

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Critical Care Medicine (Internal Medicine) Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Kevin Gardner's specialty?
Kevin Gardner specializes in Critical Care Medicine (Internal Medicine) Physician and practices in Oakland, California.
How much does Kevin Gardner prescribe under Medicare Part D?
In 2023, Kevin Gardner wrote 31 Medicare Part D claims totaling $2K in drug costs for 25 beneficiaries.
What is Kevin Gardner's Medicare quality score?
Kevin Gardner has a CMS MIPS Final Score of 73.6/100 (Quality: 75.8, Cost: 51.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kevin Gardner located?
Kevin Gardner is located at 1411 E 31ST ST, Oakland, CA, 94602. Phone: (510) 437-8356.
What is Kevin Gardner's NPI number?
Kevin Gardner's National Provider Identifier (NPI) is 1407242373, issued on 04/08/2015.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
Does Kevin Gardner accept Medicare?
Kevin Gardner appears in CMS Medicare data with 31 Part D claims and 25 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kevin Gardner's credentials?
Kevin Gardner's NPI is 1407242373. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.