MICAH THOMAS GAMBLE MD
NPI 1679145635
Family Medicine in Hilo, HI

Active since July 10, 2021PECOS EnrolledAccepts Medicare Assignment
45 MOHOULI ST STE 200, HILO, HI 96720(808) 932-4215 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 26, 2025, Jul 21, 2021, Jul 10, 2021 (3 updates tracked since 2021).

About Micah Thomas Gamble Md NPPES

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

MICAH THOMAS GAMBLE MD (NPI 1679145635) is an individual family medicine provider in Hilo, Hawaii, licensed in Hawaii (MD-25510) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Hilo Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2021).

NPPES Registry Identity

NPI1679145635
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICAH THOMAS GAMBLECredential: MD
Location Address45 MOHOULI ST STE 200Hilo, HI 96720-7210
Mailing Address45 Mohouli St Ste 200Hilo, HI 96720-7210 · (808) 932-4215
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2021
Enumeration DateJuly 10, 2021
Last NPPES UpdateNovember 26, 20253 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
NPI 1679145635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in HI · MD-25510
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.
45 MOHOULI ST STE 200, Hilo, HI 96720

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

Micah Thomas Gamble 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 ID6406293661
PECOS Enrollment IDI20250908004182
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.

Hospital Affiliations CMS Care Compare

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

Hilo Medical Center

Acute Care Hospitals · Hilo, HI
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120005
Location1190 Waianuenue AvenueHilo, HI 96720 · Hawaii County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96720 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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

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

Clinic/Center (Rural Health)
45 MOHOULI ST STE 200
HILO, HI 96720

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 Micah Gamble's NPI number?

The NPI number for Micah Gamble is 1679145635. It was assigned to this individual provider in the NPPES registry on July 10, 2021.

Where is Micah Gamble located?

Micah Gamble practices at 45 Mohouli St Ste 200, Hilo, HI 96720. The listed phone number is (808) 932-4215.

What is Micah Gamble's specialty?

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

Is Micah Gamble enrolled in Medicare?

Yes. Micah Gamble 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 Micah Gamble accept?

Health plans from HMSA list Micah Gamble 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 Micah Gamble affiliated with any hospitals?

According to CMS data, Micah Gamble is affiliated with Hilo Medical Center.

When was this NPI record last updated?

The NPPES record for Micah Gamble was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.