MR. JAMES S. GAMMIE M.D.
NPI 1699705483
Specialist in Baltimore, MD
NPI Status: Active since July 04, 2006
Contact Information
110 S. PACA STREET
7TH FLOOR
BALTIMORE, MD
ZIP 21201
Phone: (410) 328-5842
Fax: (410) 328-2750
- Individual
- Male
- Years of Experience 36
- Specialist
- May Accept Medicare Approved Payment
- PECOS Enrolled
About JAMES GAMMIE
This page provides the complete NPI Profile along with additional information for James Gammie, a provider established in Baltimore, Maryland with a medical specialization in Specialist and more than 36 years of experience. He graduated from University Of Massachusetts Medical School in 1990. The healthcare provider is registered in the NPI registry with number 1699705483 assigned on July 2006. The practitioner's primary taxonomy code is 174400000X with license number D0058455 (MD). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1699705483
- Provider Name
- MR. JAMES S. GAMMIE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 110 S. PACA STREET 7TH FLOOR BALTIMORE, MD 21201
- Location Phone
- (410) 328-5842
- Location Fax
- (410) 328-2750
- Mailing Address
- PO BOX 64226 BALTIMORE, MD 21264
- Mailing Phone
- (410) 328-3995
- Medical School Name
- UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
- Graduation Year
- 1990
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-04-2006
- Last Update Date
- 11-07-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- D0058455
- License State
- MD
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G96585 | MEDICARE UPIN (02) | MD |
Medicare Participation & PECOS Enrollment Status
James Gammie is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
James Gammie is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1153506993
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20110421000286
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Coronary artery bypass graft (CABG)
Established patient office or other outpatient visit, 40-54 minutes
New patient office or other outpatient visit, 60-74 minutes
Partial destruction and reconstruction of right upper heart chamber
Repair of mitral valve with artificial valve on heart-lung machine
Repair of tricuspid valve with ring insertion
Replacement of mitral valve on heart-lung machine
Coronary artery bypass graft (CABG) is a surgery to improve blood flow to your heart. It involves taking a blood vessel from another part of your body and using it to reroute blood around a blocked or narrowed artery in your heart. This can help reduce chest pain and minimize the risk of heart attacks.
This service was performed for 1-10 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 91 times for 84 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 46 times for 46 patientsThis procedure involves partially destroying and rebuilding the right upper chamber of your heart. It's done to correct irregular heart rhythms or other issues. It's a complex operation performed by expert heart surgeons to improve your heart's function.
This service was performed 18 times for 17 patientsThe mitral valve repair procedure is a surgery to fix a faulty heart valve. An artificial valve replaces the damaged one while a heart-lung machine takes over heart and lung functions. This ensures circulation and oxygen supply during the operation.
This service was performed 41 times for 41 patientsThe repair of the tricuspid valve with ring insertion is a heart procedure. It involves fixing the tricuspid valve, which controls blood flow in your heart. A ring is inserted to help the valve work properly, improving your heart's efficiency.
This service was performed 11 times for 11 patientsMitral valve replacement involves a surgeon removing a damaged or diseased mitral valve in your heart and replacing it with a new, healthy one. This is done while your body is connected to a heart-lung machine, which takes over your heart's pumping function during the procedure.
This service was performed 21 times for 20 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. James Gammie is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| JOHNS HOPKINS HOSPITAL, THE | 600 NORTH WOLFE STREET BALTIMORE, MD 21287 | (410) 955-5000 | Acute Care Hospitals |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1699705483, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699705483, enumerated as an "individual" on July 04, 2006.
The provider is located at 110 S. PACA STREET 7TH FLOOR BALTIMORE, MD 21201 and the phone number is (410) 328-5842.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
James Gammie is affiliated with: JOHNS HOPKINS HOSPITAL, THE.
