DR. EPHRAIM B GAMMADA MD, INTERNAL MEDICIN
NPI 1174501027
Internal Medicine in Winchester, TN

Active since January 02, 2006PECOS EnrolledAccepts Medicare Assignment
1509 OLD COWAN RD, WINCHESTER, TN 37398(931) 962-2540(931) 962-1400 Get Directions Write a Review

NPPES record last updated: June 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ephraim B Gammada Md, Internal Medicin NPPES

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

DR. EPHRAIM B GAMMADA MD, INTERNAL MEDICIN (NPI 1174501027) is an individual internal medicine provider in Winchester, Tennessee, licensed in Tennessee (MD0000026560) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Southern Tennessee Regional Hlth System Winchester, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1174501027
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EPHRAIM B GAMMADACredential: MD, INTERNAL MEDICIN
Location Address1509 OLD COWAN RDWinchester, TN 37398-1913
Mailing Address1509 Old Cowan RdWinchester, TN 37398-1913 · (931) 962-2540 · Fax (931) 962-1400
Fax(931) 962-1400
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJanuary 2, 2006
Last NPPES UpdateJune 24, 2015
NPI 1174501027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TN · MD0000026560
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1509 OLD COWAN RD, Winchester, TN 37398

Other Identifiers 2

Medicare ID-Type Unspecified3093481TN
Medicare UPING07420TN

Accepted 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. Ephraim B Gammada Md, Internal Medicin 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 ID345257671
PECOS Enrollment IDI20060314000652
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 49

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.
1,183 services348 patients
Ultrasonic guidance for placement of radiation therapy fields G6001
Ultrasonic guidance for radiation therapy fields involves using sound waves to create images of the treatment area. This helps to precisely locate the area needing radiation therapy, ensuring the treatment is directed accurately, minimizing harm to healthy tissues.
604 services25 patients
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280
This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.
571 services25 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.
562 services47 patients
Superficial and/or low voltage radiation treatment delivery 77401
Superficial and/or low voltage radiation treatment delivery is a non-invasive procedure used to treat certain diseases like skin cancer. It uses low energy radiation to target and destroy abnormal cells, aiding in halting disease progression.
553 services25 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.
485 services177 patients

Hospital Affiliations CMS Care Compare 2

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

Southern Tennessee Regional Hlth System Winchester

Acute Care Hospitals · Winchester, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440058
Location185 Hospital RoadWinchester, TN 37398 · Franklin County
Emergency services Birthing friendly

Vanderbilt Tullahoma-Harton Hospital

Acute Care Hospitals · Tullahoma, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440144
Location1801 N Jackson St Box 460Tullahoma, TN 37388 · Coffee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37398 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
61%4,340 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
16%700 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
91%700 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
34%700 patients2/55-star benchmark: 79%
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.

Referred Medical Equipment & Supplies CMS DME claims 25

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
10 suppliers146 claims359 services$6.17 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers68 claims85 services$0.99 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
3 suppliers11 claims22 services$61.17 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers20 claims20 services$109.41 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers18 claims49 services$44.59 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers11 claims11 services$72.87 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 2

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

Nurse Practitioner (Family)
1509 OLD COWAN RD
WINCHESTER, TN 37398
Internal Medicine
1509 OLD COWAN RD
WINCHESTER, TN 37398

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 Ephraim Gammada's NPI number?

The NPI number for Ephraim Gammada is 1174501027. It was assigned to this individual provider in the NPPES registry on January 2, 2006.

Where is Ephraim Gammada located?

Ephraim Gammada practices at 1509 Old Cowan Rd, Winchester, TN 37398. The listed phone number is (931) 962-2540.

What is Ephraim Gammada's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ephraim Gammada enrolled in Medicare?

Yes. Ephraim Gammada 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 Ephraim Gammada accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Ephraim Gammada 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 Ephraim Gammada affiliated with any hospitals?

According to CMS data, Ephraim Gammada is affiliated with Southern Tennessee Regional Hlth System Winchester and Vanderbilt Tullahoma-Harton Hospital.

When was this NPI record last updated?

The NPPES record for Ephraim Gammada was last updated on June 24, 2015. 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.