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DR. LARRY KYLE GAMBRELL D.O.
NPI 1275621963
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Sebastopol, CA

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
93.57/100
CMS Quality Rating
6880 PALM AVENUE, SEBASTOPOL, CA 95472(707) 823-7628(707) 823-1521 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Larry Kyle Gambrell D.o. NPPES

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

DR. LARRY KYLE GAMBRELL D.O. (NPI 1275621963) is an individual otolaryngology/facial plastic surgery provider in Sebastopol, California, licensed in California (20A9837) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1275621963
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. LARRY KYLE GAMBRELLCredential: D.O.
Location Address6880 PALM AVENUESebastopol, CA 95472
Mailing Address6880 Palm AveSebastopol, CA 95472-4270 · (707) 823-7628 · Fax (707) 823-1521
Phone(707) 823-7628
Fax(707) 823-1521
Sole ProprietorYes
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2001
Enumeration DateOctober 10, 2006
Last NPPES UpdateMarch 3, 2015
✔ NPI 1275621963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in CA · 20A9837
Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

6880 PALM AVENUE, Sebastopol, CA 95472
Open in Google Maps ↗

Other Identifiers 1

OtherCA107813CA · Medicare

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. Larry Kyle Gambrell D.o. 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 ID5799783031
PECOS Enrollment IDI20250404000717
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 12

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
910 services28 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
144 services39 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.
74 services74 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.
74 services65 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.
65 services59 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.
51 services51 patients

Hospital Affiliations CMS Care Compare 2

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Caribou Medical Center

Critical Access Hospitals · Soda Springs, ID
OwnershipGovernment - Local
CMS Certification Number131309
Location300 South 3rd WestSoda Springs, ID 83276 · Caribou County
Emergency services

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.

93.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.33
Promoting Interoperability100
Improvement Activities40

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 Larry Gambrell's NPI number?

The NPI number for Larry Gambrell is 1275621963. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Larry Gambrell located?

Larry Gambrell practices at 6880 Palm Avenue, Sebastopol, CA 95472. The listed phone number is (707) 823-7628.

What is Larry Gambrell's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Larry Gambrell enrolled in Medicare?

Yes. Larry Gambrell 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.

Is Larry Gambrell affiliated with any hospitals?

According to CMS data, Larry Gambrell is affiliated with Portneuf Medical Center and Caribou Medical Center.

When was this NPI record last updated?

The NPPES record for Larry Gambrell was last updated on March 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.