DR. DAVID ADAM GIMBEL
NPI 1275765729
Neurological Surgery in Cincinnati, OH

Active since August 18, 2009PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
222 PIEDMONT AVE, CINCINNATI, OH 45219(513) 475-8990(513) 475-7243 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 19, 2017 (2 updates tracked since 2017).

About Dr. David Adam Gimbel NPPES

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

DR. DAVID ADAM GIMBEL (NPI 1275765729) is an individual neurological surgery provider in Cincinnati, Ohio, licensed in Ohio (35.131985) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Wellstar Spalding Medical Center, and is a graduate of Yale University School Of Medicine (2010).

NPPES Registry Identity

NPI1275765729
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. DAVID ADAM GIMBEL
Location Address222 PIEDMONT AVECincinnati, OH 45219-4231
Mailing AddressPo Box 636256Cincinnati, OH 45263-6256 · (513) 245-3600 · Fax (513) 245-3672
Fax(513) 475-7243
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 2010
Enumeration DateAugust 18, 2009
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1275765729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in OH · 35.131985
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
222 PIEDMONT AVE, Cincinnati, OH 45219

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. David Adam Gimbel 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 ID8729359955
PECOS Enrollment IDI20181106003134
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services29 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.
23 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Wellstar Spalding Medical Center

Acute Care Hospitals · Griffin, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110031
Location601 South 8th StreetGriffin, GA 30224 · Spalding County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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.

Speech-Language Pathologist
222 PIEDMONT AVE
CINCINNATI, OH 45219
Allergy & Immunology (Clinical & Laboratory Immunology)
222 PIEDMONT AVE, SUITE 5200
CINCINNATI, OH 45219
Nurse Practitioner (Gerontology)
222 PIEDMONT AVE
CINCINNATI, OH 45219
Nurse Practitioner (Adult Health)
222 PIEDMONT AVE
CINCINNATI, OH 45219
Licensed Practical Nurse
222 PIEDMONT AVE, SUITE 5200
CINCINNATI, OH 45219
Nurse Practitioner (Family)
222 PIEDMONT AVE
CINCINNATI, OH 45219
Psychiatry & Neurology (Neurology)
222 PIEDMONT AVE, SUITE 3200
CINCINNATI, OH 45219
Internal Medicine
222 PIEDMONT AVE, STE 6000
CINCINNATI, OH 45219

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 David Gimbel's NPI number?

The NPI number for David Gimbel is 1275765729. It was assigned to this individual provider in the NPPES registry on August 18, 2009.

Where is David Gimbel located?

David Gimbel practices at 222 Piedmont Ave, Cincinnati, OH 45219. The listed phone number is (513) 475-8990.

What is David Gimbel's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is David Gimbel enrolled in Medicare?

Yes. David Gimbel 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 David Gimbel affiliated with any hospitals?

According to CMS data, David Gimbel is affiliated with Wellstar Spalding Medical Center, Grady Memorial Hospital and Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for David Gimbel was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.