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JON DOUGLAS GAMBILL PA-C
NPI 1073586319
Physician Assistant - Medical in Canyonville, OR

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
115 S PINE ST, CANYONVILLE, OR 97417(541) 839-4211(541) 839-4983 Get Directions Write a Review

NPPES record last updated: January 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jon Douglas Gambill Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JON DOUGLAS GAMBILL PA-C (NPI 1073586319) is an individual medical provider in Canyonville, Oregon, licensed in Oregon (PA00791) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1073586319
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJON DOUGLAS GAMBILLCredential: PA-C
Location Address115 S PINE STCanyonville, OR 97417-9648
Mailing AddressPo Box 888, 115 S Pine StreetCanyonville, OR 97417-0888 · (541) 839-4211 · Fax (541) 839-4983
Phone(541) 839-4211
Fax(541) 839-4983
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateFebruary 8, 2006
Last NPPES UpdateJanuary 20, 2016
✔ NPI 1073586319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OR · PA00791
115 S PINE ST, Canyonville, OR 97417
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified111732OR · Ind Medicare
Medicare UPINP72283OR
Medicare PINR111732OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jon Douglas Gambill Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436293248
PECOS Enrollment IDI20100217000554
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380027
Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers15 claims68 services$3.02 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier34 claims36 services$19.50 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.52 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims14 services$48.95 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers45 claims47 services$109.88 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers24 claims24 services$184.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR ANNA LLC
Internal Medicine
115 S PINE ST
CANYONVILLE, OR 97417
Douglas County (541) 839-4211
RICHARD EDWARD COOKSLEY PA
Physician Assistant (Medical)
115 S PINE ST
CANYONVILLE, OR 97417
Douglas County (541) 839-4211
ANANDITA TIWARI M.D.
Internal Medicine
115 S PINE ST
CANYONVILLE, OR 97417
Douglas County (541) 839-4211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Gambill's NPI number?

The NPI number for Jon Gambill is 1073586319. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Jon Gambill located?

Jon Gambill practices at 115 S Pine St, Canyonville, OR 97417. The listed phone number is (541) 839-4211.

What is Jon Gambill's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jon Gambill enrolled in Medicare?

Yes. Jon Gambill is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jon Gambill accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Jon Gambill as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jon Gambill affiliated with any hospitals?

According to CMS data, Jon Gambill is affiliated with Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Jon Gambill was last updated on January 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.