PATRICK R GAMBLIN P.A.
NPI 1154870491
Physician Assistant in Augusta, GA

Q: What is Patrick Gamblin's NPI number?

The NPI number for Patrick Gamblin is 1154870491. It was assigned to this individual provider in the NPPES registry on September 28, 2016.

Q: What is Patrick Gamblin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Gamblin was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 September 28, 2016PECOS EnrolledAccepts Medicare Assignment

80.17/100

CMS Quality Rating

811 13TH ST, SUITE 20, AUGUSTA, GA 30901(706) 722-3401(706) 724-6540 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, Oct 12, 2016, Sep 28, 2016 (3 updates tracked since 2016).

On this page

About Patrick R Gamblin P.a. NPPES

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

PATRICK R GAMBLIN P.A. (NPI 1154870491) is an individual physician assistant in Augusta, Georgia, licensed in Georgia (8143) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (2016).

NPPES Registry Identity

NPI1154870491

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NamePATRICK R GAMBLINCredential: P.A.

Location Address811 13TH ST, SUITE 20Augusta, GA 30901-2700

Mailing Address811 13th St, Suite 20Augusta, GA 30901-2700 · (706) 722-3401 · Fax (706) 724-6540

Phone(706) 722-3401

Fax(706) 724-6540

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2016

Enumeration DateSeptember 28, 2016

Last NPPES UpdateSeptember 16, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1154870491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in GA · 8143

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

811 13TH ST, Augusta, GA 30901

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Patrick R Gamblin P.a. 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 ID5193013605

PECOS Enrollment IDI20161017002397

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 17

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

958 services131 patients

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.

253 services182 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

191 services106 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

140 services82 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.

122 services107 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

100 services18 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

73 services49 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

59 services33 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

50 services24 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

45 services34 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

38 services27 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

27 services26 patients

X-ray of elbow, 2 views 73070

An elbow X-ray, 2 views, is a quick, painless imaging test. It uses a small amount of radiation to produce detailed images of your elbow from two different angles. This helps in diagnosing conditions like fractures, infection, or arthritis. It's a safe and effective way to monitor your elbow health.

21 services12 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

14 services11 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

14 services13 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

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110028

Location1350 Walton WayAugusta, GA 30901 · Richmond County

Emergency services Birthing friendly

Burke Medical Center

Acute Care Hospitals · Waynesboro, GA

OwnershipProprietary

CMS Certification Number110113

Location351 South Liberty StreetWaynesboro, GA 30830 · Burke County

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number420082

Location302 University ParkwayAiken, SC 29801 · Aiken County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

80.17/100

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

Scored as part of a group practice

Quality

71.63

Promoting Interoperability

100

Improvement Activities

Cost

62.27

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

51%55 patients3/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

100%998 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

74%414 patients3/55-star benchmark: 100%

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

59%729 patients3/55-star benchmark: 98%

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

0%530 patients1/55-star benchmark: 61%

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

Patients combinedPopulations: 99% · 738 patients

Patients screened: 100% · 738 patients

92%64 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

81%761 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 437 patients

Patients totalRate: 2% · 437 patients

2%437 patients4/55-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.

VAIRAGI CHOKSY

Physician Assistant (Medical)

811 13TH ST, SUITE 10
AUGUSTA, GA 30901

Richmond County (706) 434-1590

AUGUSTA ARTHRITIS CENTER INC

Specialist

811 13TH ST, SUITE 14
AUGUSTA, GA 30901

Richmond County (702) 828-0043

THOMAS ALAN PARFENCHUCK MD

Orthopaedic Surgery

811 13TH ST, STE 20
AUGUSTA, GA 30901

Richmond County (706) 722-3401

JUDAH CHARLES JOHNSON P.A.

Physician Assistant

811 13TH ST, SUITE 20
AUGUSTA, GA 30901

Richmond County (706) 722-3401

KEVIN J OSHEA MD

Orthopaedic Surgery

811 13TH ST, STE 20
AUGUSTA, GA 30901

Richmond County (706) 722-3401

ORTHOPAEDIC ASSOCIATES OF AUGUSTA PA

Orthopaedic Surgery

811 13TH ST, STE 20
AUGUSTA, GA 30901

Richmond County (706) 722-3401

PAUL JAMES HERZWURM MD

Orthopaedic Surgery

811 13TH ST, STE 20
AUGUSTA, GA 30901

Richmond County (706) 722-3401

JOSEPH PAUL RECTENWALD MD

Orthopaedic Surgery (Hand Surgery)

811 13TH ST, STE 20
AUGUSTA, GA 30901

Richmond County (706) 722-3401

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 Patrick Gamblin's NPI number?

The NPI number for Patrick Gamblin is 1154870491. It was assigned to this individual provider in the NPPES registry on September 28, 2016.

Where is Patrick Gamblin located?

Patrick Gamblin practices at 811 13th St Suite 20, Augusta, GA 30901. The listed phone number is (706) 722-3401.

What is Patrick Gamblin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Patrick Gamblin enrolled in Medicare?

Yes. Patrick Gamblin 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 Patrick Gamblin accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Patrick Gamblin 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 Patrick Gamblin affiliated with any hospitals?

According to CMS data, Patrick Gamblin is affiliated with Piedmont Augusta Hospital, Burke Medical Center and Aiken Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Patrick Gamblin was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.