GREGORY M. DUNHAM MD
NPI 1679556054
Obstetrics & Gynecology in San Angelo, TX

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment
95.75/100
CMS Quality Rating
220 E. HARRIS, SAN ANGELO, TX 76903(325) 481-2285(325) 481-2386 Get Directions Write a Review

NPPES record last updated: December 28, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gregory M. Dunham Md NPPES

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

GREGORY M. DUNHAM MD (NPI 1679556054) is an individual obstetrics & gynecology provider in San Angelo, Texas, licensed in Texas (G5006) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1983).

NPPES Registry Identity

NPI1679556054
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameGREGORY M. DUNHAMCredential: MD
Location Address220 E. HARRISSan Angelo, TX 76903
Mailing AddressPo Box 22000San Angelo, TX 76902-7200 · (325) 658-1511
Fax(325) 481-2386
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1983
Enumeration DateNovember 21, 2005
Last NPPES UpdateDecember 28, 2017
NPI 1679556054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in TX · G5006
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

220 E. HARRIS, San Angelo, TX 76903

Other Identifiers 1

Medicaid134491305TX

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

Gregory M. Dunham 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 ID6901990225
PECOS Enrollment IDI20070918000307, I20260105000365
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 4

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 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.
89 services85 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
59 services59 patients
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.
49 services47 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
36 services29 patients

Hospital Affiliations CMS Care Compare

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

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76903 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

95.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner (Women's Health)
220 E. HARRIS
SAN ANGELO, TX 76903
Internal Medicine
220 E. HARRIS
SAN ANGELO, TX 76903
Internal Medicine (Nephrology)
220 E. HARRIS
SAN ANGELO, TX 76903
Advanced Practice Midwife
220 E. HARRIS
SAN ANGELO, TX 76903
Internal Medicine (Nephrology)
220 E. HARRIS
SAN ANGELO, TX 76903
Family Medicine
220 E. HARRIS
SAN ANGELO, TX 76903
Family Medicine
220 E. HARRIS
SAN ANGELO, TX 76903
Advanced Practice Midwife
220 E. HARRIS
SAN ANGELO, TX 76903

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 Gregory Dunham's NPI number?

The NPI number for Gregory Dunham is 1679556054. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Gregory Dunham located?

Gregory Dunham practices at 220 E. Harris, San Angelo, TX 76903. The listed phone number is (325) 481-2285.

What is Gregory Dunham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Gregory Dunham enrolled in Medicare?

Yes. Gregory Dunham 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 Gregory Dunham accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Gregory Dunham 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 Gregory Dunham affiliated with any hospitals?

According to CMS data, Gregory Dunham is affiliated with Shannon Medical Center.

When was this NPI record last updated?

The NPPES record for Gregory Dunham was last updated on December 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.