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

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: October 18, 2026.

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 Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show James Gamache reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spencer Municipal Hospital
3.3 mi
Clinic/Center
2004 OKOBOJI AVE
Milford, IA 51351
  • Reassigned Medicare billing, Iowa enrollment
  • 176 clinicians in this Medicare group
NPI 1396732186 (712) 338-2461
Pocahontas Community Hospital
50 mi
Critical Access
606 NW 7TH ST
Pocahontas, IA 50574
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1346241213 (Iowa)
  • 52 clinicians in this Medicare group
NPI 1609989581 (712) 335-3501
Ida County Iowa Community Hospital
74 mi
Critical Access
701 E 2ND ST
Ida Grove, IA 51445
  • Reassigned Medicare billing, Iowa enrollment
  • 54 clinicians in this Medicare group
NPI 1265461180 (712) 364-3311

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 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.

Which organizations bill Medicare for James Gamache's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Gamache reassigns Medicare benefits to 3 organizations: Spencer Municipal Hospital (Milford, IA), Pocahontas Community Hospital (Pocahontas, IA) and Ida County Iowa Community Hospital (Ida Grove, IA). 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 James Gamache's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Gamache accept?

Health plans from Wellmark Health Plan of Iowa, Inc. 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.