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DR. ANOMA S GAMAGE MD
NPI 1326141938
Family Medicine in Lexington, SC

Active since September 07, 2006PECOS Enrolled
811 W MAIN ST, LEXINGTON, SC 29072(803) 358-6100(803) 358-6167 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 27, 2020, Sep 30, 2020, Jun 15, 2018 (3 updates tracked since 2018).

About Dr. Anoma S Gamage Md NPPES

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

DR. ANOMA S GAMAGE MD (NPI 1326141938) is an individual family medicine provider in Lexington, South Carolina, licensed in South Carolina (22010) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Leesville.

NPPES Registry Identity

NPI1326141938
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANOMA S GAMAGECredential: MD
Location Address811 W MAIN STLexington, SC 29072
Mailing AddressPo Box 6069West Columbia, SC 29171-6069
Phone(803) 358-6100
Fax(803) 358-6167
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateOctober 27, 20203 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1326141938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 22010
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 22010 (SC)
811 W MAIN ST, Lexington, SC 29072
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Secondary Practice Location 1

Location 1338 E Columbia AveLeesville, SC 29070 · Phone (803) 604-0066 · Fax (803) 604-9924

Other Identifiers 2

Medicaid220102SC
OtherP01157481SC · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anoma S Gamage Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Anoma Gamage reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lexington Health Inc
Same address
Adolescent Medicine
103 THOMPSON ST STE 100
Lexington, SC 29072
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,219 clinicians in this Medicare group
NPI 1619574969 (803) 359-8855
Palmetto Primary Care Physicians, LLC
7.6 mi
Family Medicine
3020 SUNSET BLVD STE 101
West Columbia, SC 29169
  • Reassigned Medicare billing, South Carolina enrollment
  • 290 clinicians in this Medicare group
NPI 1740846138 (803) 791-5680
Sc House Calls Inc
13 mi
Family Medicine
111 DOCTOR CIR
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 631 clinicians in this Medicare group
NPI 1518048859 (800) 491-0909
Careconnectmd South Carolina P.C.
114 mi
Geriatric Medicine
1240 WINNOWING WAY UNIT 102
Mt Pleasant, SC 29466
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Careconnectmd South Carolina PC
  • 64 clinicians in this Medicare group
NPI 1306565973 (888) 789-9585
Sea Island Medical Care
114 mi
Primary Care
2114 HIGHWAY 41, SUITE 105
Mount Pleasant, SC 29466
  • Reassigned Medicare billing, South Carolina enrollment
  • 13 clinicians in this Medicare group
NPI 1528561453 (843) 388-9000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
285 services284 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
60 services60 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
26 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29072 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
17%217 patients1/55-star benchmark: 100%
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.
15%224 patients1/55-star benchmark: 99%
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.
99%250 patients5/55-star benchmark: 97%
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…
28%250 patients2/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
0%250 patients
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.

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.

LEXINGTON HEALTH INC
Clinic/Center (Urgent Care)
811 W MAIN ST
LEXINGTON, SC 29072
Lexington County (803) 358-6100
MICHAEL P TAILLON MD
Family Medicine
811 W MAIN ST
LEXINGTON, SC 29072
Lexington County (803) 358-6100
DR. PATRICK M O'MALLEY MD
Emergency Medicine
811 W MAIN ST
LEXINGTON, SC 29072
Lexington County (803) 358-6100
REBECCA B MCNAIR MD
Family Medicine
811 W MAIN ST, SUITE 207
LEXINGTON, SC 29072
Lexington County (803) 358-6420
ANN CAUGHMAN ALEXANDER RN MN CFNP
Nurse Practitioner
811 W MAIN ST, STE 204
LEXINGTON, SC 29072
Lexington County (803) 359-8855
AMBER TIMMONS FNP
Nurse Practitioner (Acute Care)
811 W MAIN ST
LEXINGTON, SC 29072
Lexington County (803) 358-3100
LEXINGTON HEALTH INC
Clinic/Center (Radiology)
811 W MAIN ST
LEXINGTON, SC 29072
Lexington County (803) 358-6100
DR. THOMAS E GIBBONS JR. MD
Emergency Medicine
811 W MAIN ST
LEXINGTON, SC 29072
Lexington County (803) 749-0924

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 Anoma Gamage's NPI number?

The NPI number for Anoma Gamage is 1326141938. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Anoma Gamage located?

Anoma Gamage practices at 811 W Main St, Lexington, SC 29072. The listed phone number is (803) 358-6100.

What is Anoma Gamage's specialty?

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

Is Anoma Gamage enrolled in Medicare?

Yes. Anoma Gamage is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anoma Gamage's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anoma Gamage reassigns Medicare benefits to 5 organizations: Lexington Health Inc (Lexington, SC), Palmetto Primary Care Physicians, LLC (West Columbia, SC), Sc House Calls Inc (Columbia, SC), Careconnectmd South Carolina P.C. (Mt Pleasant, SC) and Sea Island Medical Care (Mount Pleasant, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anoma Gamage's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anoma Gamage accept?

Health plans from First Choice Next list Anoma Gamage 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.

When was this NPI record last updated?

The NPPES record for Anoma Gamage was last updated on October 27, 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.