DR. WILLY D GAMA M.D.
NPI 1538518196
Anesthesiology in Pittsburgh, PA

Active since June 05, 2016PECOS Enrolled
78.75/100
CMS Quality Rating
3471 FIFTH AVE,, SUITE 402 KAUFMANN MEDICAL BUILDING, PITTSBURGH, PA 15213(843) 792-2322 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Willy D Gama M.d. NPPES

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

DR. WILLY D GAMA M.D. (NPI 1538518196) is an individual anesthesiology provider in Pittsburgh, Pennsylvania, licensed in South Carolina (LL39500) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2016).

NPPES Registry Identity

NPI1538518196
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. WILLY D GAMACredential: M.D.
Location Address3471 FIFTH AVE,, SUITE 402 KAUFMANN MEDICAL BUILDINGPittsburgh, PA 15213
Mailing Address3600 Forbes Avenue, Forbes Tower-plaza Level Suite 140Pittsburgh, PA 15213 · (843) 792-2322
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2016
Enumeration DateJune 5, 2016
Last NPPES UpdateJuly 16, 2020
NPPES CertifiedJuly 16, 2020
✔ NPI 1538518196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in SC · LL39500
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3471 FIFTH AVE,, Pittsburgh, PA 15213

Accepted 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. Willy D Gama M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557641842
PECOS Enrollment IDI20210915002119
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

2

Medicare enrollment records show Willy Gama reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
1917 ABBOTT RD STE 100
Anchorage, AK 99507
  • Reassigned Medicare billing, Alaska enrollment
  • 9 clinicians in this Medicare group
Pain Medicine
1220 F ST
Anchorage, AK 99501
  • Reassigned Medicare billing, Alaska enrollment

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 30

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.
1,272 services317 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,065 services154 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
495 services189 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
391 services34 patients
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
274 services127 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.
154 services102 patients

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.

78.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality53.37
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
1%282 patients1/55-star benchmark: 93%
Cervical Cancer Screening
2%325 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
30%124 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
60%53 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%38 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%38 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
50%3,664 patients2/55-star benchmark: 100%
e-Prescribing
99%2,187 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%271 patients1/55-star benchmark: 100%
HIV Screening
0%611 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
19%800 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%775 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%2,961 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 10% · 762 patients
Patients screened: 13% · 762 patients
28%25 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
74%833 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
67%58 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 279 patients
Patients totalRate: 18% · 283 patients
18%283 patients3/55-star benchmark: 100%
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.

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 Willy Gama's NPI number?

The NPI number for Willy Gama is 1538518196. It was assigned to this individual provider in the NPPES registry on June 5, 2016.

Where is Willy Gama located?

Willy Gama practices at 3471 Fifth Ave, Suite 402 Kaufmann Medical Building, Pittsburgh, PA 15213. The listed phone number is (843) 792-2322.

What is Willy Gama's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Willy Gama enrolled in Medicare?

Yes. Willy Gama is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Willy Gama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Willy Gama reassigns Medicare benefits to 2 organizations: Aa Pain Clinic, Inc. (Anchorage, AK) and Mgm Enterprises LLC (Anchorage, AK). 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 Willy Gama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Willy Gama accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Willy Gama 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 Willy Gama was last updated on July 16, 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.