JAMES A GAMACHE MD
NPI 1619949872
Family Medicine in Spirit Lake, IA

Q: What is James Gamache's NPI number?

The NPI number for James Gamache is 1619949872. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Q: What is James Gamache's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Gamache was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 February 02, 2006PECOS EnrolledAccepts Medicare Assignment

HIGHWAY 71 SOUTH, SPIRIT LAKE, IA 51360(712) 336-1230 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About James A Gamache Md NPPES

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

JAMES A GAMACHE MD (NPI 1619949872) is an individual family medicine provider in Spirit Lake, Iowa, licensed in Iowa (22168) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Pocahontas Community Hospital, and is a graduate of Creighton University School Of Medicine (1979).

NPPES Registry Identity

NPI1619949872

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES A GAMACHECredential: MD

Location AddressHIGHWAY 71 SOUTHSpirit Lake, IA 51360

Mailing Address2804 Chaplin DrMilford, IA 51351 · (712) 338-4112

Phone(712) 336-1230

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 1979

Enumeration DateFebruary 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1619949872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · 22168

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.

HIGHWAY 71 SOUTH, Spirit Lake, IA 51360

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Other Identifiers 1

Medicare UPINA01654

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

James A Gamache 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 ID547229072

PECOS Enrollment IDI20041008000766

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 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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

19 services18 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

17 services16 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Pocahontas Community Hospital

Critical Access Hospitals · Pocahontas, IA

OwnershipGovernment - Local

CMS Certification Number161305

Location606 N W 7th StreetPocahontas, IA 50574 · Pocahontas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51360 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

Other Providers at the Same Location NPPES 2

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

JOSEPH VERSCHOOR DPT

Physical Therapist

HIGHWAY 71 SOUTH, BOX AB
SPIRIT LAKE, IA 51360

Dickinson County (712) 336-8651

DR. HOFFMAN & ASSOCIATES, P.A.

Podiatrist (Foot & Ankle Surgery)

HIGHWAY 71 SOUTH
SPIRIT LAKE, IA 51360

Dickinson County (507) 372-2986

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 James Gamache's NPI number?

The NPI number for James Gamache is 1619949872. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is James Gamache located?

James Gamache practices at Highway 71 South, Spirit Lake, IA 51360. The listed phone number is (712) 336-1230.

What is James Gamache's specialty?

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

Is James Gamache enrolled in Medicare?

Yes. James Gamache 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 James Gamache accept?

Health plans from Medica and Sanford Health Plan list James Gamache 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 James Gamache affiliated with any hospitals?

According to CMS data, James Gamache is affiliated with Pocahontas Community Hospital.

When was this NPI record last updated?

The NPPES record for James Gamache was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.