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GRACE B. GAMPONIA MD
NPI 1164450748
Family Medicine - Adult Medicine in Renton, WA

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
4033 TALBOT RD S, SUITE 570, RENTON, WA 98055(425) 656-5400(425) 656-5079 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace B. Gamponia Md NPPES

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

GRACE B. GAMPONIA MD (NPI 1164450748) is an individual adult medicine provider in Renton, Washington, licensed in Washington (MD00035568) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1164450748
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameGRACE B. GAMPONIACredential: MD
Location Address4033 TALBOT RD S, SUITE 570Renton, WA 98055-5772
Mailing Address3600 Lind Ave Sw, Suite 100 Attn CredentialingRenton, WA 98057-4970 · (425) 690-2715
Phone(425) 656-5400
Fax(425) 656-5079
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJune 30, 2006
Last NPPES UpdateMarch 5, 2020
NPPES CertifiedMarch 5, 2020
✔ NPI 1164450748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in WA · MD00035568
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
4033 TALBOT RD S, Renton, WA 98055
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Other Identifiers 3

Medicaid8227522WA
OtherG8891427WA · Medicare - Valley Medical Group
Medicaid1043099WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Grace B. Gamponia 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 ID1355302100
PECOS Enrollment IDI20041025000535
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 4

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.
281 services141 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
120 services120 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.
57 services48 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.
17 services13 patients

Hospital Affiliations CMS Care Compare

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

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98055 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers60 claims125 services$5.62 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers14 claims22 services$0.99 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers31 claims31 services$37.32 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$12.75 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
2 suppliers16 claims16 services$12.01 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$168.21 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 20

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

MS. ALLISON J WARMINGTON PAC
Physician Assistant (Surgical)
4033 TALBOT RD S, SUITE 530
RENTON, WA 98055
King County (425) 228-6076
DR. SAMUEL GYAWU-AMOATENG PHARM.D
Pharmacist
4033 TALBOT RD S
RENTON, WA 98055
King County (425) 690-3533
DR. FRANK P RUDEY DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
4033 TALBOT RD S
RENTON, WA 98055
King County (425) 430-1320
DR. PETER A BALOUSEK MD
Neurological Surgery
4033 TALBOT RD S, STE 520
RENTON, WA 98055
King County (425) 690-3586
NURSE MIDWIVES@ VMC
Advanced Practice Midwife
4033 TALBOT RD S, STE 440
RENTON, WA 98055
King County (425) 656-5321
WINNIE WU PHARMD
Pharmacist
4033 TALBOT RD S
RENTON, WA 98055
King County (425) 690-3533
VALLEY VASCULAR SURGERY
General Acute Care Hospital
4033 TALBOT RD S, SUITE 530
RENTON, WA 98055
King County (425) 656-5568
CHANTEL L. TURNER PA-C
Physician Assistant (Medical)
4033 TALBOT RD S, STE 540
RENTON, WA 98055
King County (206) 575-2602

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 Grace Gamponia's NPI number?

The NPI number for Grace Gamponia is 1164450748. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Grace Gamponia located?

Grace Gamponia practices at 4033 Talbot Rd S Suite 570, Renton, WA 98055. The listed phone number is (425) 656-5400.

What is Grace Gamponia's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Grace Gamponia enrolled in Medicare?

Yes. Grace Gamponia 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 Grace Gamponia accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Grace Gamponia 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 Grace Gamponia affiliated with any hospitals?

According to CMS data, Grace Gamponia is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Grace Gamponia was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.