DR. OLIVIA GAGE GAMBOA MD
NPI 1881037810
Family Medicine in Flat Rock, NC

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
571 S ALLEN RD, FLAT ROCK, NC 28731(828) 692-6178(828) 692-2365 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 2, 2022, Dec 17, 2021 (2 updates tracked since 2021).

About Dr. Olivia Gage Gamboa Md NPPES

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

DR. OLIVIA GAGE GAMBOA MD (NPI 1881037810) is an individual family medicine provider in Flat Rock, North Carolina, licensed in North Carolina (2022-02803) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2013).

NPPES Registry Identity

NPI1881037810
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. OLIVIA GAGE GAMBOACredential: MD
Location Address571 S ALLEN RDFlat Rock, NC 28731-9447
Mailing Address571 S Allen RdFlat Rock, NC 28731-9447 · (828) 692-6178 · Fax (828) 692-2365
Fax(828) 692-2365
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2013
Enumeration DateApril 9, 2013
Last NPPES UpdateNovember 2, 20222 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
NPI 1881037810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2022-02803
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.

Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License 2022-02803 (NC)
571 S ALLEN RD, Flat Rock, NC 28731

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. Olivia Gage Gamboa 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 ID5890097448
PECOS Enrollment IDI20221109003025
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
429 services182 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
137 services130 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
84 services81 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
27 services22 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
25 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28731 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
571 S ALLEN RD
FLAT ROCK, NC 28731
Internal Medicine
571 S ALLEN RD
FLAT ROCK, NC 28731
Nurse Practitioner (Family)
571 S ALLEN RD
FLAT ROCK, NC 28731
Nurse Practitioner (Family)
571 S ALLEN RD
FLAT ROCK, NC 28731
Nurse Practitioner (Family)
571 S ALLEN RD
FLAT ROCK, NC 28731
Nurse Practitioner (Family)
571 S ALLEN RD
FLAT ROCK, NC 28731
Social Worker
571 S ALLEN RD
FLAT ROCK, NC 28731
Nurse Practitioner
571 S ALLEN RD
FLAT ROCK, NC 28731

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 Olivia Gamboa's NPI number?

The NPI number for Olivia Gamboa is 1881037810. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Olivia Gamboa located?

Olivia Gamboa practices at 571 S Allen Rd, Flat Rock, NC 28731. The listed phone number is (828) 692-6178.

What is Olivia Gamboa's specialty?

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

Is Olivia Gamboa enrolled in Medicare?

Yes. Olivia Gamboa 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 Olivia Gamboa accept?

Health plans from Blue Cross and Blue Shield of NC list Olivia Gamboa 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 Olivia Gamboa affiliated with any hospitals?

According to CMS data, Olivia Gamboa is affiliated with Memorial Mission Hospital And Asheville Surgery Ce and Margaret R Pardee Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Olivia Gamboa was last updated on November 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.