CALEB GILLHAM MD
NPI 1255860086
Family Medicine in Omak, WA

Active since June 06, 2017PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2020, Jun 8, 2020, Sep 15, 2017 and 1 more (4 updates tracked since 2017).

About Caleb Gillham Md NPPES

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

CALEB GILLHAM MD (NPI 1255860086) is an individual family medicine provider in Omak, Washington, licensed in Washington (MD61014528) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with St Anthony Hospital, and is a graduate of Loma Linda University School Of Medicine (2017).

NPPES Registry Identity

NPI1255860086
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCALEB GILLHAMCredential: MD
Location Address916 KOALA DROmak, WA 98841-9759
Mailing Address820 N Chelan AveWenatchee, WA 98801-2028 · (509) 663-8711
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2017
Enumeration DateJune 6, 2017
Last NPPES UpdateJuly 20, 20204 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
NPI 1255860086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WA · MD61014528 Licensed in KS · 94-09177
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
916 KOALA DR, Omak, WA 98841

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

Caleb Gillham 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 ID4688945918
PECOS Enrollment IDI20250924004783
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 3

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.

Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
24 services19 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
22 services22 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

St Anthony Hospital

Critical Access Hospitals · Pendleton, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381319
Location2801 St Anthony WayPendleton, OR 97801 · Umatilla County
Emergency services Birthing friendly

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500002
Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County
Emergency services Birthing friendly

Confluence Health Hospital

Acute Care Hospitals · Wenatchee, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500016
Location1201 S Miller StreetWenatchee, WA 98807 · Chelan County
Emergency services Birthing friendly

Mid Valley Hospital

Critical Access Hospitals · Omak, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501328
Location810 Jasmine StreetOmak, WA 98841 · Okanogan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98841 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 7

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
3 suppliers19 claims42 services$6.28 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier37 claims38 services$19.59 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier22 claims22 services$6.72 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers73 claims73 services$113.54 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims660 services$0.29 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers56 claims56 services$189.74 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.

Family Medicine
916 KOALA DR
OMAK, WA 98841
Family Medicine
916 KOALA DR
OMAK, WA 98841
Nurse Practitioner (Family)
916 KOALA DR
OMAK, WA 98841
Nurse Practitioner (Family)
916 KOALA DR
OMAK, WA 98841
Family Medicine
916 KOALA DR
OMAK, WA 98841
Internal Medicine (Gastroenterology)
916 KOALA DR
OMAK, WA 98841
Physician Assistant
916 KOALA DR
OMAK, WA 98841
Nurse Practitioner (Psychiatric/Mental Health)
916 KOALA DR
OMAK, WA 98841

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 Caleb Gillham's NPI number?

The NPI number for Caleb Gillham is 1255860086. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Caleb Gillham located?

Caleb Gillham practices at 916 Koala Dr, Omak, WA 98841. The listed phone number is (509) 663-8711.

What is Caleb Gillham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Caleb Gillham enrolled in Medicare?

Yes. Caleb Gillham 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 Caleb Gillham accept?

Health plans from BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Caleb Gillham 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 Caleb Gillham affiliated with any hospitals?

According to CMS data, Caleb Gillham is affiliated with St Anthony Hospital, Providence St Mary Medical Center, Confluence Health Hospital and Mid Valley Hospital.

When was this NPI record last updated?

The NPPES record for Caleb Gillham was last updated on July 20, 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.