DR. KENNETH L. GAMMON M.D.
NPI 1528061447
Internal Medicine - Pulmonary Disease in Elkhart, IN

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
80.87/100
CMS Quality Rating
303 S NAPPANEE ST, ELKHART, IN 46514(574) 296-3314(574) 296-3351 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth L. Gammon M.d. NPPES

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

DR. KENNETH L. GAMMON M.D. (NPI 1528061447) is an individual pulmonary disease provider in Elkhart, Indiana, licensed in Indiana (01029946A) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and is a graduate of Washington University School Of Medicine (1975).

NPPES Registry Identity

NPI1528061447
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. KENNETH L. GAMMONCredential: M.D.
Location Address303 S NAPPANEE STElkhart, IN 46514-2066
Mailing AddressPo Box 2968Elkhart, IN 46515-2968 · (574) 296-3314 · Fax (574) 296-3351
Fax(574) 296-3351
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1975
Enumeration DateMay 24, 2005
Last NPPES UpdateMay 29, 2015
NPI 1528061447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in IN · 01029946A
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01029946A (IN)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 01029946A (IN)
Also ListedHospitalistTaxonomy 208M00000X · License 01029946A (IN)
303 S NAPPANEE ST, Elkhart, IN 46514

Other Identifiers 3

Medicare PIN227950VVVIN
Medicaid100112420AIN
Medicare UPINB28626IN

Accepted 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. Kenneth L. Gammon 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 ID8820090194
PECOS Enrollment IDI20110406000220
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 2

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.

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.
259 services241 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.
159 services153 patients

Hospital Affiliations CMS Care Compare 4

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

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Community Hospital Of Bremen Inc

Critical Access Hospitals · Bremen, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151300
Location1020 High RdBremen, IN 46506 · Marshall County
Emergency services

Three Rivers Health

Acute Care Hospitals · Three Rivers, MI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230015
Location701 S Health ParkwayThree Rivers, MI 49093 · St. Joseph County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46514 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

80.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.47
Improvement Activities40
Cost57.57

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.63 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$91.11 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 20

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

Internal Medicine (Rheumatology)
303 S NAPPANEE ST
ELKHART, IN 46514
Clinic/Center (Multi-Specialty)
303 S NAPPANEE ST
ELKHART, IN 46514
Internal Medicine (Rheumatology)
303 S NAPPANEE ST
ELKHART, IN 46514
Hospitalist
303 S NAPPANEE ST
ELKHART, IN 46514
Nurse Practitioner (Family)
303 S NAPPANEE ST
ELKHART, IN 46514
Podiatrist
303 S NAPPANEE ST
ELKHART, IN 46514
Nurse Practitioner (Family)
303 S NAPPANEE ST
ELKHART, IN 46514
Audiologist
303 S NAPPANEE ST
ELKHART, IN 46514

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 Kenneth Gammon's NPI number?

The NPI number for Kenneth Gammon is 1528061447. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Kenneth Gammon located?

Kenneth Gammon practices at 303 S Nappanee St, Elkhart, IN 46514. The listed phone number is (574) 296-3314.

What is Kenneth Gammon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kenneth Gammon enrolled in Medicare?

Yes. Kenneth 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.

What insurance does Kenneth Gammon accept?

Health plans from CareSource list Kenneth Gammon 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 Kenneth Gammon affiliated with any hospitals?

According to CMS data, Kenneth Gammon is affiliated with Elkhart General Hospital, Memorial Hospital Of South Bend, Community Hospital Of Bremen Inc and Three Rivers Health.

When was this NPI record last updated?

The NPPES record for Kenneth Gammon was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.