DR. CAMERON R. GONGWER MD
NPI 1710904321
Family Medicine in South Bend, IN

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
4440 NORTH PORTAGE AVENUE, SOUTH BEND, IN 46628(574) 204-6200(574) 288-1426 Get Directions Write a Review

NPPES record last updated: July 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Cameron R. Gongwer Md NPPES

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

DR. CAMERON R. GONGWER MD (NPI 1710904321) is an individual family medicine provider in South Bend, Indiana, licensed in Indiana (01038547A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1989).

NPPES Registry Identity

NPI1710904321
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CAMERON R. GONGWERCredential: MD
Location Address4440 NORTH PORTAGE AVENUESouth Bend, IN 46628-8579
Mailing Address4440 North Portage AvenueSouth Bend, IN 46628-8579 · (574) 204-6200 · Fax (574) 288-1426
Fax(574) 288-1426
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1989
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 29, 2016
NPI 1710904321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01038547A
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.
4440 NORTH PORTAGE AVENUE, South Bend, IN 46628

Other Identifiers 4

Medicare UPINE52050
Medicaid100092640IN
Other01038547AIN · License
Other01038547BIN · Controlled Substance Reg

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

Dr. Cameron R. Gongwer 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 ID4981601044
PECOS Enrollment IDI20061102000212
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 8

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 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.
79 services77 patients
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.
73 services72 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
27 services27 patients
Bacterial culture for aerobic isolates 87077
A bacterial culture for aerobic isolates is a lab test that helps identify bacteria that thrive in oxygen-rich environments. A sample from the suspected infection site is collected, then placed in a special medium that promotes bacterial growth. After a set period, the lab identifies any bacteria present, aiding in accurate diagnosis and treatment.
22 services18 patients
Bacterial urine culture 87088
A bacterial urine culture is a laboratory test that checks for bacteria in your urine. It helps identify the type of bacteria causing an infection, enabling the selection of the most effective treatment. The test involves collecting a urine sample in a sterile container.
20 services19 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46628 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 3

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

Family Medicine
4440 NORTH PORTAGE AVENUE
SOUTH BEND, IN 46628
Family Medicine
4440 NORTH PORTAGE AVENUE
SOUTH BEND, IN 46628
Family Medicine
4440 NORTH PORTAGE AVENUE
SOUTH BEND, IN 46628

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 Cameron Gongwer's NPI number?

The NPI number for Cameron Gongwer is 1710904321. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Cameron Gongwer located?

Cameron Gongwer practices at 4440 North Portage Avenue, South Bend, IN 46628. The listed phone number is (574) 204-6200.

What is Cameron Gongwer's specialty?

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

Is Cameron Gongwer enrolled in Medicare?

Yes. Cameron Gongwer 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 Cameron Gongwer accept?

Health plans from CareSource list Cameron Gongwer 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.

When was this NPI record last updated?

The NPPES record for Cameron Gongwer was last updated on July 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.