Medicare Enrolled

Tammy Gardell, APRN-BC

Nurse Practitioner - Adult Health · Shirley, MA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
104 HARVARD ROAD, Shirley, MA 01464
9784254341
Registered in NPPES since 2008
NPI: 1558517086 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Gardell from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Gardell

Tammy Gardell is a nurse practitioner - adult health in Shirley, MA, with 18 years of NPI registration. Based on federal Medicare data, Gardell performed 485 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Gardell received a total of $4,664 from 20 pharmaceutical and/or device companies across 264 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Gardell is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 18 years of NPI registration ▲ Top 35% volume in MA $4,664 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
485
Medicare services
Top 35% in MA for nurse practitioner - adult health
Not available
Unique patients (not deduplicated)
$47
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
344 $56 $191
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
54 $10 $30
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
31 $63 $235
Electrocardiogram (EKG), 12-lead
A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report.
29 $9 $30
Influenza vaccine, quadrivalent, 0.5 ml dosage 14 $20 $40
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
13 $30 $31
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$4,664
Total received (2021-2024)
Avg $1,166/year across 4 years
Top 4% in MA for nurse practitioner - adult health
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
20
Companies
264
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,362
2023
$1,415
2022
$1,061
2021
$827

Payments by company (2024)

ABBVIE INC.
$472
Lilly USA, LLC
$224
Novo Nordisk Inc
$140
Phathom Pharmaceuticals, Inc.
$112
Sumitomo Pharma America, Inc.
$110
Exact Sciences Corporation
$93
SHIELD THERAPEUTICS INC
$60
Abbott Laboratories
$58
Ardelyx, Inc.
$37
AstraZeneca Pharmaceuticals LP
$35
Mylan Specialty L.P.
$21
Top 3 companies account for 61.4% of 2024 payments
All-time payments by company (2021-2024) ›
ABBVIE INC.
$1,282
Lilly USA, LLC
$854
Novo Nordisk Inc
$735
AstraZeneca Pharmaceuticals LP
$248
Boehringer Ingelheim Pharmaceuticals, Inc.
$223
Abbott Laboratories
$208
AbbVie Inc.
$159
NESTLE HEALTHCARE NUTRITION INC.
$155
Exact Sciences Corporation
$150
Phathom Pharmaceuticals, Inc.
$112
Sumitomo Pharma America, Inc.
$110
Nestle HealthCare Nutrition Inc.
$96
PFIZER INC.
$93
SHIELD THERAPEUTICS INC
$60
Shield Therapeutics Inc
$50
E.R. Squibb & Sons, L.L.C.
$38
Ardelyx, Inc.
$37
Mylan Specialty L.P.
$21
SANOFI PASTEUR INC.
$18
Astellas Pharma US Inc
$13
Top 3 companies account for 61.6% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · BREZTRI · COLOGUARD DNA CAPTURE REAGENTS · CREON · Cologuard Collection Kit · ELIQUIS · EMGALITY · FARXIGA · FLUZONE HIGH-DOSE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GEMTESA · IBSRELA · JARDIANCE · LINZESS · MOUNJARO · Myrbetriq · Ozempic · QULIPTA · RINVOQ · RYBELSUS · Rybelsus · STIOLTO RESPIMAT · Saxenda · TRULICITY · UBRELVY · VIBERZI · VOQUEZNA · VRAYLAR · Wegovy · YUPELRI · ZENPEP
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for a nurse practitioner - adult health in Shirley?
Compare adult-health nurse practitioners in the Shirley area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Adult-health nurse practitioners in nearby ZIP areas
179
County median income
$126,779
Nearest hospital to ZIP centroid (approximate)
TARAVISTA BEHAVIORAL HEALTH CENTER
3.2 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Gardell is a clinical cardiology specialist, with moderate Medicare volume, with 18 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Gardell experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Gardell performed 344 office visit, established patient (20-29 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Gardell receive payments from pharmaceutical companies?
Yes. Gardell received a total of $4,664 from 20 companies across 264 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Gardell's costs compare to other adult-health nurse practitioners in Shirley?
Gardell's average Medicare payment per service is $47. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Gardell) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →