DR. FERNANDO NICOLAS GAMARRA MD
NPI 1457473654
Internal Medicine - Gastroenterology in Clinton Twp, MI

Q: What is Fernando Gamarra's NPI number?

The NPI number for Fernando Gamarra is 1457473654. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Q: What is Fernando Gamarra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Fernando Gamarra 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.

Active since April 06, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

37399 GARFIELD RD STE 104, CLINTON TWP, MI 48036(586) 286-5400(586) 576-6263 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 22, 2017 (2 updates tracked since 2017).

On this page

About Dr. Fernando Nicolas Gamarra Md NPPES

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

DR. FERNANDO NICOLAS GAMARRA MD (NPI 1457473654) is an individual gastroenterology provider in Clinton Twp, Michigan, licensed in Michigan (4301088745) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Mclaren Port Huron, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1457473654

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. FERNANDO NICOLAS GAMARRACredential: MD

Location Address37399 GARFIELD RD STE 104Clinton Twp, MI 48036-3672

Mailing Address37399 Garfield Rd Ste 104Clinton Twp, MI 48036-3672 · (586) 286-5400 · Fax (586) 576-6263

Phone(586) 286-5400

Fax(586) 576-6263

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateApril 6, 2007

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1457473654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MI · 4301088745

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

37399 GARFIELD RD STE 104, Clinton Twp, MI 48036

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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. Fernando Nicolas Gamarra 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 ID9032366463

PECOS Enrollment IDI20120820001148

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 11

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

101 services101 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.

87 services60 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

50 services50 patients

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.

49 services43 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

42 services42 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

26 services26 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

24 services23 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

23 services21 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.

19 services17 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

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230216

Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County

Emergency services Birthing friendly

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230227

Location1000 Harrington StMount Clemens, MI 48043 · Macomb County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48036 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 5

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

JASPREET K GHUMMAN D.O.

Internal Medicine (Gastroenterology)

37399 GARFIELD RD STE 104
CLINTON TOWNSHIP, MI 48036

Macomb County (586) 286-5400

TRILLIUM ANESTHESIA SERVICES, PLLC

Anesthesiology

37399 GARFIELD RD STE 104
CLINTON TOWNSHIP, MI 48036

Macomb County (586) 228-5300

DR. JOHNATHON TOMA MARKUS M.D.

Hospitalist

37399 GARFIELD RD STE 104
CLINTON TWP, MI 48036

Macomb County (586) 569-3379

ANDREW R PELEMAN DO

Internal Medicine (Gastroenterology)

37399 GARFIELD RD STE 104
CLINTON TOWNSHIP, MI 48036

Macomb County (586) 286-5400

WENDY ANN SCHILL ACNP-BC

Nurse Practitioner

37399 GARFIELD RD STE 104
CLINTON TWP, MI 48036

Macomb County (586) 286-5400

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 Fernando Gamarra's NPI number?

The NPI number for Fernando Gamarra is 1457473654. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Fernando Gamarra located?

Fernando Gamarra practices at 37399 Garfield Rd Ste 104, Clinton Twp, MI 48036. The listed phone number is (586) 286-5400.

What is Fernando Gamarra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Fernando Gamarra enrolled in Medicare?

Yes. Fernando Gamarra 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 Fernando Gamarra accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Fernando Gamarra 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 Fernando Gamarra affiliated with any hospitals?

According to CMS data, Fernando Gamarra is affiliated with Mclaren Port Huron and Mclaren Macomb.

When was this NPI record last updated?

The NPPES record for Fernando Gamarra 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.