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WILLIAM CHARLES GAMBLA MD
NPI 1104489434
Student in an Organized Health Care Education/Training Program in Birmingham, AL

Active since April 22, 2019PECOS EnrolledAccepts Medicare Assignment
75.81/100
CMS Quality Rating
700 18TH ST S STE 601, BIRMINGHAM, AL 35233(205) 996-8660 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About William Charles Gambla Md NPPES

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

WILLIAM CHARLES GAMBLA MD (NPI 1104489434) is an individual student in an organized health care education/training program in Birmingham, Alabama and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2019).

NPPES Registry Identity

NPI1104489434
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWILLIAM CHARLES GAMBLACredential: MD
Location Address700 18TH ST S STE 601Birmingham, AL 35233-3800
Mailing Address700 18th St S Ste 601Birmingham, AL 35233-3800 · (205) 996-8660
Phone(205) 996-8660
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2019
Enumeration DateApril 22, 2019
Last NPPES UpdateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1104489434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedOphthalmologyTaxonomy 207W00000X · License MD.46435 (AL)
700 18TH ST S STE 601, Birmingham, AL 35233
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

William Charles Gambla Md 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 ID6608109525
PECOS Enrollment IDI20241121001163
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 6

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
40 services39 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
31 services30 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
16 services16 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
13 services13 patients
2d ultrasound scan of eye tissue and structures 76512
A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.
12 services11 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
12 services12 patients

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.

75.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.29
Promoting Interoperability86
Improvement Activities40
Cost41.73

Other Providers at the Same Location NPPES 5

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

DR. TIM J THOMPSON OD
Optometrist
700 18TH ST S STE 601
BIRMINGHAM, AL 35233
Jefferson County (205) 325-8620
DR. PARISA TACKETT DUDLEY O.D.
Optometrist
700 18TH ST S STE 601
BIRMINGHAM, AL 35233
Jefferson County (205) 325-8620
KRUPA HASMUKH PATEL M.D.
Ophthalmology
700 18TH ST S STE 601
BIRMINGHAM, AL 35233
Jefferson County (205) 325-8620
ANN MARIE ARCINIEGAS-BERNAL M.D.
Ophthalmology
700 18TH ST S STE 601
BIRMINGHAM, AL 35233
Jefferson County (205) 325-8620
RUSSELL W READ MD
Ophthalmology
700 18TH ST S STE 601
BIRMINGHAM, AL 35233
Jefferson County (205) 325-8620

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 William Gambla's NPI number?

The NPI number for William Gambla is 1104489434. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is William Gambla located?

William Gambla practices at 700 18th St S Ste 601, Birmingham, AL 35233. The listed phone number is (205) 996-8660.

What is William Gambla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is William Gambla enrolled in Medicare?

Yes. William Gambla 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 William Gambla accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list William Gambla 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.

When was this NPI record last updated?

The NPPES record for William Gambla was last updated on June 30, 2023. 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.