DR. JAMES C GATES D.M.D.
NPI 1073898516
Oral & Maxillofacial Surgery in Philadelphia, PA

Q: What is James Gates's NPI number?

The NPI number for James Gates is 1073898516. It was assigned to this individual provider in the NPPES registry on October 16, 2011.

Q: What is James Gates's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: When was this NPI record last updated?

The NPPES record for James Gates was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 16, 2011PECOS EnrolledAccepts Medicare Assignment

85.48/100

CMS Quality Rating

3400 CIVIC CENTER BLVD FL 4, PHILADELPHIA, PA 19104(215) 662-3580(215) 662-7445 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2022, Sep 30, 2019, Mar 17, 2016 (3 updates tracked since 2016).

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About Dr. James C Gates D.m.d. NPPES

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

DR. JAMES C GATES D.M.D. (NPI 1073898516) is an individual oral & maxillofacial surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS038935) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1073898516

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameDR. JAMES C GATESCredential: D.M.D.

Location Address3400 CIVIC CENTER BLVD FL 4Philadelphia, PA 19104-5127

Mailing Address3400 Civic Center Blvd Fl 4Philadelphia, PA 19104-5127 · (215) 662-3580 · Fax (215) 662-7445

Phone(215) 662-3580

Fax(215) 662-7445

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 16, 2011

Last NPPES UpdateNovember 22, 20223 updates tracked since enumeration

NPPES CertifiedNovember 22, 2022

✔ NPI 1073898516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

Licenses✔ Licensed in PA · DS038935✔ Licensed in PA · MD471966

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DS038935 (PA)

3400 CIVIC CENTER BLVD FL 4, Philadelphia, PA 19104

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Other Identifiers 1

Medicaid1030108450001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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

Dr. James C Gates D.m.d. 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 ID8628201555

PECOS Enrollment IDI20150722004510

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 5

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

79 services56 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

34 services34 patients

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.

26 services22 patients

Removal of lower jaw bone 21025

The removal of the lower jaw bone, or mandibulectomy, is a surgical procedure performed to treat conditions like oral cancer or severe trauma. It involves removing part or all of the lower jaw to prevent disease spread or repair damage. Post-surgery, reconstructive measures may be taken for functionality and appearance.

13 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390179

Location701 East Marshall StreetWest Chester, PA 19380 · Chester County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.6

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 20

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

DR. MARIA SPASSOVA ALTIERI MD

Surgery