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DR. KWASI AMPONSAH GAMBRAH M.D.
NPI 1447811872
Family Medicine in Charleston, WV

Active since June 26, 2019PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
1097 FLEDDERJOHN RD, CHARLESTON, WV 25314(304) 345-3627(304) 346-4440 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2022, Mar 2, 2020 (2 updates tracked since 2020).

About Dr. Kwasi Amponsah Gambrah M.d. NPPES

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

DR. KWASI AMPONSAH GAMBRAH M.D. (NPI 1447811872) is an individual family medicine provider in Charleston, West Virginia, licensed in West Virginia (31544) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1447811872
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KWASI AMPONSAH GAMBRAHCredential: M.D.
Location Address1097 FLEDDERJOHN RDCharleston, WV 25314-4208
Mailing Address4605 Maccorkle Ave SwSouth Charleston, WV 25309-1311 · (304) 414-4800
Phone(304) 345-3627
Fax(304) 346-4440
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 26, 2019
Last NPPES UpdateNovember 21, 20222 updates tracked since enumeration
NPPES CertifiedNovember 21, 2022
✔ NPI 1447811872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 31544
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.
1097 FLEDDERJOHN RD, Charleston, WV 25314
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Other Names 1

Other Name (5)Mr. Paul Amponsah Gambrah M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Dr. Kwasi Amponsah Gambrah M.d. 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 ID6901135110
PECOS Enrollment IDI20221212002895
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 6

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 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.
259 services184 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
227 services31 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.
163 services129 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
140 services140 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
96 services23 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Boone Memorial Hospital

Critical Access Hospitals · Madison, WV
OwnershipGovernment - Local
CMS Certification Number511313
Location701 Madison AvenueMadison, WV 25130 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25314 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier12 claims12 services$6.09 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 11

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

SAMAR RYIAD SANKARI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Kanawha County (304) 720-1963
CHRISTINA HAIKAL STROPE RPH
Pharmacist
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Kanawha County (304) 767-7920
JORDAN CANANKAMP PHARMD
Pharmacist (Ambulatory Care)
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Kanawha County (304) 345-3627
JOHN HUNTER LEWIS DO
Family Medicine
1097 FLEDDERJOHN RD, TMH ASHTON MEDICAL ASSOCIATES
CHARLESTON, WV 25314
Kanawha County (304) 345-3627
DR. RICHARD A. CAPITO MD
Internal Medicine
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Kanawha County (304) 345-3627
HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION
Pharmacy (Community/Retail Pharmacy)
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Kanawha County (304) 767-7920
DR. MICHELLE LYNN KNIGHT PHARM.D.
Pharmacist (Ambulatory Care)
1097 FLEDDERJOHN RD, ASHTON MEDICAL ASSOCIATES, INC.
CHARLESTON, WV 25314
Kanawha County (304) 345-3627
ASHTON MEDICAL ASSOCIATES INC
Family Medicine
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Kanawha County (304) 345-3627

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 Kwasi Gambrah's NPI number?

The NPI number for Kwasi Gambrah is 1447811872. It was assigned to this individual provider in the NPPES registry on June 26, 2019. The provider is also known as Mr. Paul Amponsah Gambrah M.D..

Where is Kwasi Gambrah located?

Kwasi Gambrah practices at 1097 Fledderjohn Rd, Charleston, WV 25314. The listed phone number is (304) 345-3627.

What is Kwasi Gambrah's specialty?

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

Is Kwasi Gambrah enrolled in Medicare?

Yes. Kwasi Gambrah 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 Kwasi Gambrah accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Kwasi Gambrah 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 Kwasi Gambrah affiliated with any hospitals?

According to CMS data, Kwasi Gambrah is affiliated with Charleston Area Medical Center, Thomas Memorial Hospital and Boone Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kwasi Gambrah was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.