DR. ANDREW WILLIAM GAMENTHALER M.D.
NPI 1144414558
Surgery in Daytona Beach, FL

Q: What is Andrew Gamenthaler's NPI number?

The NPI number for Andrew Gamenthaler is 1144414558. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Q: What is Andrew Gamenthaler's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since August 29, 2007PECOS EnrolledAccepts Medicare Assignment

83.94/100

CMS Quality Rating

1890 LPGA BLVD, SUITE 250, DAYTONA BEACH, FL 32117(386) 274-0250(386) 274-0269 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Andrew William Gamenthaler M.d. NPPES

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

DR. ANDREW WILLIAM GAMENTHALER M.D. (NPI 1144414558) is an individual surgery provider in Daytona Beach, Florida, licensed in Georgia (002794) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Adventhealth New Smyrna Beach, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1144414558

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. ANDREW WILLIAM GAMENTHALERCredential: M.D.

Location Address1890 LPGA BLVD, SUITE 250Daytona Beach, FL 32117-7130

Mailing Address11945 San Jose Blvd, Bldg 300Jacksonville, FL 32223-1613 · (904) 396-1725 · Fax (904) 399-1717

Phone(386) 274-0250

Fax(386) 274-0269

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateAugust 29, 2007

Last NPPES UpdateAugust 13, 2014

✔ NPI 1144414558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in GA · 002794

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1890 LPGA BLVD, Daytona Beach, FL 32117

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Other Identifiers 1

Medicare PINGG911YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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. Andrew William Gamenthaler 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 ID8022274745

PECOS Enrollment IDI20120725000378

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 11

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.

106 services79 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.

70 services70 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.

61 services49 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

50 services23 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

35 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

20 services20 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

19 services11 patients

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603

This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.

17 services16 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

15 services15 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.

14 services14 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100014

Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County

Emergency services

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100017

Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County

Emergency services Birthing friendly

Adventhealth Deland

Acute Care Hospitals · Deland, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100045

Location701 W Plymouth AveDeland, FL 32720 · Volusia County

Emergency services

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100068

Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

83.94/100

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

Individually scored

Quality

72.44

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Advance Care Plan

81%506 patients4/55-star benchmark: 100%

Breast Cancer Screening

25%135 patients2/55-star benchmark: 93%

Cervical Cancer Screening

0%53 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

26%123 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

17%322 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

67%142 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

0%51 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

94%51 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

80%964 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%439 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

33%572 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%549 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

27%587 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 32% · 450 patients

28%450 patients

Provide Patients Electronic Access to Their Health Information

83%233 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

81%139 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 450 patients

Patients totalRate: 0% · 451 patients

0%451 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MR. LUTHER ST. JAMES III M.D.

Family Medicine

1890 LPGA BLVD, 170
DAYTONA BEACH, FL 32117

Volusia County (386) 274-3354

MARK W WHITE MD,LLC

Specialist

1890 LPGA BLVD, SUITE 250
DAYTONA BEACH, FL 32117

Volusia County (386) 274-0250

EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC

Radiology (Diagnostic Radiology)

1890 LPGA BLVD, SUITE 110
DAYTONA BEACH, FL 32117

Volusia County (386) 274-7272

JAMES T SUTTON MD PA

Surgery (Vascular Surgery)

1890 LPGA BLVD, STE 250
DAYTONA BEACH, FL 32117

Volusia County (386) 274-0250

SURGICAL ASSOCIATES OF VOLUSIA

Specialist

1890 LPGA BLVD, SUITE 250
DAYTONA BEACH, FL 32117

Volusia County (386) 274-0250

DR. JAMES W RUST DPM

Podiatrist (Foot & Ankle Surgery)

1890 LPGA BLVD, SUITE 230
DAYTONA BEACH, FL 32117

Volusia County (386) 274-3336

ATLANTIC PODIATRY ASSOCIATES DPM PA

Podiatrist (Foot & Ankle Surgery)

1890 LPGA BLVD, STE 230
DAYTONA BEACH, FL 32117

Volusia County (386) 274-3336

PRIMECARE AT TWIN LAKES LLC

Clinic/Center (Urgent Care)

1890 LPGA BLVD, SUITE 130
DAYTONA BEACH, FL 32117

Volusia County (386) 274-2212

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 Andrew Gamenthaler's NPI number?

The NPI number for Andrew Gamenthaler is 1144414558. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Where is Andrew Gamenthaler located?

Andrew Gamenthaler practices at 1890 Lpga Blvd Suite 250, Daytona Beach, FL 32117. The listed phone number is (386) 274-0250.

What is Andrew Gamenthaler's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Andrew Gamenthaler enrolled in Medicare?

Yes. Andrew Gamenthaler 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 Andrew Gamenthaler accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida and 1 other insurer list Andrew Gamenthaler 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 Andrew Gamenthaler affiliated with any hospitals?

According to CMS data, Andrew Gamenthaler is affiliated with Adventhealth New Smyrna Beach, Halifax Health Medical Center, Adventhealth Deland and Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Andrew Gamenthaler was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.