GREGORY R GAMBLA DO
NPI 1801832167
Internal Medicine - Gastroenterology in Elgin, IL

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
85.09/100
CMS Quality Rating
745 FLETCHER DR, STE 202, ELGIN, IL 60123(847) 888-1300(847) 888-1341 Get Directions Write a Review

NPPES record last updated: February 18, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gregory R Gambla Do NPPES

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

GREGORY R GAMBLA DO (NPI 1801832167) is an individual gastroenterology provider in Elgin, Illinois, licensed in Illinois (036098608) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1990).

NPPES Registry Identity

NPI1801832167
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameGREGORY R GAMBLACredential: DO
Location Address745 FLETCHER DR, STE 202Elgin, IL 60123-4747
Mailing Address39w357 Baker DrGeneva, IL 60134-6114 · (630) 208-9848
Fax(847) 888-1341
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1990
Enumeration DateJune 22, 2006
Last NPPES UpdateFebruary 18, 2015
NPI 1801832167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in IL · 036098608
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

745 FLETCHER DR, Elgin, IL 60123

Other Identifiers 2

Medicare UPING74651IL
Medicaid036098608IL

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 R Gambla Do 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 ID4385643717
PECOS Enrollment IDI20061213000357
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 17

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, 30-39 minutes 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.
199 services148 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
135 services134 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
113 services74 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
102 services102 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
101 services101 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
84 services84 patients

Hospital Affiliations CMS Care Compare 4

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Presence Saint Joseph Hospital - Elgin

Acute Care Hospitals · Elgin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140217
Location77 N Airlite StreetElgin, IL 60123 · Kane County
Emergency services

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60123 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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.

85.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.16
Promoting Interoperability99
Improvement Activities40
Cost77.98

Other Providers at the Same Location NPPES 19

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

Urology
745 FLETCHER DR, SUITE 301
ELGIN, IL 60123
Internal Medicine (Gastroenterology)
745 FLETCHER DR, STE 202
ELGIN, IL 60123
Registered Nurse (Registered Nurse First Assistant)
745 FLETCHER DR, SUITE 302
ELGIN, IL 60123
745 FLETCHER DR, SUITE 302
ELGIN, IL 60123
Internal Medicine (Gastroenterology)
745 FLETCHER DR, STE 202
ELGIN, IL 60123
Internal Medicine (Gastroenterology)
745 FLETCHER DR
ELGIN, IL 60123
Internal Medicine
745 FLETCHER DR, SUITE 101
ELGIN, IL 60123
Internal Medicine
745 FLETCHER DR, SUITE 101
ELGIN, IL 60123

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 Gambla's NPI number?

The NPI number for Gregory Gambla is 1801832167. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Gregory Gambla located?

Gregory Gambla practices at 745 Fletcher Dr Ste 202, Elgin, IL 60123. The listed phone number is (847) 888-1300.

What is Gregory Gambla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gregory Gambla enrolled in Medicare?

Yes. Gregory Gambla 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.

Is Gregory Gambla affiliated with any hospitals?

According to CMS data, Gregory Gambla is affiliated with Advocate Sherman Hospital, Northwestern Medicine Mchenry, Presence Saint Joseph Hospital - Elgin and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Gregory Gambla was last updated on February 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.