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LEE G. GAMMON MD
NPI 1295262194
Orthopaedic Surgery in Tappahannock, VA

Active since May 23, 2017PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
300 MT CLEMENT PARK STE B, TAPPAHANNOCK, VA 22560(804) 443-8670(804) 443-8675 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 16, 2023, May 13, 2022, May 23, 2017 (3 updates tracked since 2017).

About Lee G. Gammon Md NPPES

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

LEE G. GAMMON MD (NPI 1295262194) is an individual orthopaedic surgery provider in Tappahannock, Virginia, licensed in Virginia (0101278242) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and is a graduate of University Of Kentucky College Of Medicine (2017).

NPPES Registry Identity

NPI1295262194
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameLEE G. GAMMONCredential: MD
Location Address300 MT CLEMENT PARK STE BTappahannock, VA 22560-5098
Mailing AddressPo Box 780125Philadelphia, PA 19178-0125 · (804) 922-4844
Phone(804) 443-8670
Fax(804) 443-8675
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2017
Enumeration DateMay 23, 2017
Last NPPES UpdateOctober 16, 20233 updates tracked since enumeration
NPPES CertifiedOctober 15, 2023
✔ NPI 1295262194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in VA · 0101278242✔ Licensed in NC · 2022-01669
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
300 MT CLEMENT PARK STE B, Tappahannock, VA 22560
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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

Lee G. Gammon 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 ID5991075723
PECOS Enrollment IDI20231120002546
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 7

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.
161 services116 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.
147 services147 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
142 services99 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.
140 services103 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
31 services25 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 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Vcu Health Tappahannock Hospital

Acute Care Hospitals · Tappahannock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490084
Location618 Hospital RoadTappahannock, VA 22560 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22560 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

Other Providers at the Same Location NPPES 3

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

MR. HUNTER E SHIREY P.A.
Physician Assistant
300 MT CLEMENT PARK STE B
TAPPAHANNOCK, VA 22560
Essex County (804) 443-8670
PAUL FRANKLIN AGPCNP
Nurse Practitioner (Adult Health)
300 MT CLEMENT PARK STE B, NORTHERN NECK BONE AND JOINT CENTER
TAPPAHANNOCK, VA 22560
Essex County (804) 443-8670
MICHAEL HAWKINSON MD
Orthopaedic Surgery
300 MT CLEMENT PARK STE B
TAPPAHANNOCK, VA 22560
Essex County (804) 443-8670

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 Lee Gammon's NPI number?

The NPI number for Lee Gammon is 1295262194. It was assigned to this individual provider in the NPPES registry on May 23, 2017.

Where is Lee Gammon located?

Lee Gammon practices at 300 Mt Clement Park Ste B, Tappahannock, VA 22560. The listed phone number is (804) 443-8670.

What is Lee Gammon's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Lee Gammon enrolled in Medicare?

Yes. Lee Gammon 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 Lee Gammon affiliated with any hospitals?

According to CMS data, Lee Gammon is affiliated with Medical College Of Virginia Hospitals and Vcu Health Tappahannock Hospital.

When was this NPI record last updated?

The NPPES record for Lee Gammon was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.