2026 NPPES data Plastic and Reconstructive Surgery Physician NPI 1861784449 D.O.
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PRESTON GARDNER, D.O.

Plastic and Reconstructive Surgery Physician in PALM BEACH GARDENS, Florida. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
80
Medicare Part D claims · 65 beneficiaries · Plastic and Reconstructive Surgery Physician avg: 86
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.5/100
▲ 15 pts above national avg 83.1 · [object Object]
Industry payments
$167.32
7 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PRESTON GARDNER, D.O. is a Plastic and Reconstructive Surgery Physician ([object Object]) practicing in PALM BEACH GARDENS, Florida with a Medicare Part D prescribing footprint of 80 claims across 65 beneficiaries — 18% brand-name prescribing . Their CMS MIPS Final Score of 98.5/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $167.32 across 7 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PRESTON GARDNER, D.O. reported a CMS MIPS final score of 98.5 out of 100, above the 83.1 national average, and filed 80 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PRESTON GARDNER, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

PRESTON GARDNER, D.O. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/13/2011

NPI 1861784449

Primary specialty

Plastic and Reconstructive Surgery Physician

Niche

2,352 US NPIs in this specialty

Medicare Part D claims

80 7% vs specialty avg

2023 prescription claims

Specialty avg: 86

MIPS final score

98.5/100 15.400000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Plastic and Reconstructive Surgery Physician compares to other specialties among Florida providers

Florida providers

Plastic and Reconstructive Surgery Physician share within Florida

1. Plastic and Reconstructive Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic and Reconstructive Surgery Physician share within Florida

Medicare quality performance — MIPS

PRESTON GARDNER, D.O.'s 2023 MIPS final score plotted against the Plastic and Reconstructive Surgery Physician national average

High performer (top quartile)
MIPS Final Score
98.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic and Reconstructive Surgery Physician) — 98.5/100 vs national avg 83.1

0%100%National avg83%98.5%
MIPS final score (Plastic and Reconstructive Surgery Physician) — 98.5/100 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).

PRESTON GARDNER, D.O. is a Plastic and Reconstructive Surgery Physician provider practicing in PALM BEACH GARDENS, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1861784449. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

PRESTON GARDNER, D.O. appears in the CMS NPPES registry as a Plastic and Reconstructive Surgery Physician provider holding D.O. credentials at 11020 RCA CENTER DR STE 2010, PALM BEACH GARDENS, FL, 33410, with a listed phone of (561) 258-9559. NPI 1861784449 was issued on 05/13/2011. 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 80 prescription claims written by this provider, covering 65 Medicare beneficiaries and totaling roughly $7K in drug spend, split 18% brand-name and 82% generic by claim count, with an opioid prescribing rate of 43.8%. 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 98.5/100 for the 2023 performance year (Quality 95, Cost 100), compared with the national average of 83.1.

Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 2,352 enrolled providers across 54 states and an average of 86 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

11020 RCA CENTER DR STE 2010
PALM BEACH GARDENS, FL 33410

Provider Details

NPI 1861784449
Specialty Plastic and Reconstructive Surgery Physician
Credentials D.O.
Gender Male
NPI Issued 05/13/2011

CMS Quality Score (MIPS)

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

98.5
Final Score
Avg: 83.1
95
Quality
100
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PRESTON GARDNER, D.O. 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.

AQUA DERMATOLOGY OF FLORIDA, PA
PALM BEACH GARDENS, FL
WOODRUFF INSTITUTE LLC
NAPLES, FL

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for PRESTON GARDNER, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$167

Largest payer

Smith+Nephew, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to PRESTON GARDNER, D.O.. To verify PRESTON GARDNER, D.O.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

PRESTON GARDNER, D.O. — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 80 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

80
Total Claims
$7K
Total Drug Cost
65
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
80
Total Day Supply
642
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$6K
Generic Drug Cost
$460
Opioid Claims
35 (43.8% rate)
Antibiotic Claims
28

Patient Demographics

Average Patient Age
76.4 years
Avg HCC Risk Score
1.33
Gender Split
43% female / 57% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
30
Clindamycin Hcl
13
Santyl
Collagenase Clostridium Hist.
13
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Plastic and Reconstructive Surgery Physician Overview

How PRESTON GARDNER, D.O. fits within the Plastic and Reconstructive Surgery Physician landscape nationally.

2,352
Plastic and Reconstructive Surgery Physician Providers in US
54
States with Plastic and Reconstructive Surgery Physician
86
Avg Claims per Provider

PRESTON GARDNER, D.O.'s 80 claims are below the specialty average of 86.

Nearby Plastic and Reconstructive Surgery Physician Providers in Florida

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

Compare Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PRESTON GARDNER, D.O.'s specialty?
PRESTON GARDNER, D.O. specializes in Plastic and Reconstructive Surgery Physician and practices in PALM BEACH GARDENS, Florida. Credentials: D.O..
How much does PRESTON GARDNER, D.O. prescribe under Medicare Part D?
In 2023, PRESTON GARDNER, D.O. wrote 80 Medicare Part D claims totaling $7K in drug costs for 65 beneficiaries.
What is PRESTON GARDNER, D.O.'s Medicare quality score?
PRESTON GARDNER, D.O. has a CMS MIPS Final Score of 98.5/100 (Quality: 95, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PRESTON GARDNER, D.O. located?
PRESTON GARDNER, D.O. is located at 11020 RCA CENTER DR STE 2010, PALM BEACH GARDENS, FL, 33410. Phone: (561) 258-9559.
What is PRESTON GARDNER, D.O.'s NPI number?
PRESTON GARDNER, D.O.'s National Provider Identifier (NPI) is 1861784449, issued on 05/13/2011.
Does PRESTON GARDNER, D.O. prescribe more brand-name or generic drugs?
PRESTON GARDNER, D.O.'s prescribing is 18% brand-name and 82% generic drugs by claim count, with $6K in brand drug costs.
Does PRESTON GARDNER, D.O. prescribe opioids?
Yes, PRESTON GARDNER, D.O. had 35 opioid claims in 2023 with an opioid prescribing rate of 43.8%.
How many Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 2,352 Plastic and Reconstructive Surgery Physician providers across 54 states in the US. The average Plastic and Reconstructive Surgery Physician provider writes 86 Medicare Part D claims per year.
What drugs does PRESTON GARDNER, D.O. prescribe most often?
Based on 2023 Medicare Part D data, PRESTON GARDNER, D.O.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Clindamycin Hcl, Santyl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRESTON GARDNER, D.O. accept Medicare?
PRESTON GARDNER, D.O. appears in CMS Medicare data with 80 Part D claims and 65 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRESTON GARDNER, D.O.'s credentials?
PRESTON GARDNER, D.O.'s NPI is 1861784449 with credentials D.O.. 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