DR. MICHAEL T. GAMBLA M.D.
NPI 1952367641
Urology in Worthington, OH

Active since April 22, 2006PECOS EnrolledAccepts Medicare Assignment
350 W WILSON BRIDGE RD STE 100, WORTHINGTON, OH 43085(614) 796-2900(614) 796-2901 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael T. Gambla M.d. NPPES

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

DR. MICHAEL T. GAMBLA M.D. (NPI 1952367641) is an individual urology provider in Worthington, Ohio, licensed in Ohio (35073770) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Medical Center, and maintains a secondary practice location in Gahanna.

NPPES Registry Identity

NPI1952367641
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. MICHAEL T. GAMBLACredential: M.D.
Location Address350 W WILSON BRIDGE RD STE 100Worthington, OH 43085-2590
Mailing Address701 Tech Center Dr Ste 250Gahanna, OH 43230-1987 · (614) 944-4800 · Fax (614) 944-4750
Fax(614) 796-2901
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1996
Enumeration DateApril 22, 2006
Last NPPES UpdateFebruary 13, 2020
NPI 1952367641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in OH · 35073770
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
350 W WILSON BRIDGE RD STE 100, Worthington, OH 43085

Secondary Practice Location 1

Location 1701 Tech Center DrGahanna, OH 43230-1987 · Phone (614) 396-2684 · Fax (614) 396-2480

Other Identifiers 1

Medicaid2242755OH

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. Michael T. Gambla M.d. 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 ID8628049921
PECOS Enrollment IDI20201005002407
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 14

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
1,600 services11 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
499 services312 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
455 services313 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.
238 services206 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.
160 services128 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
89 services78 patients

Hospital Affiliations CMS Care Compare

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

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43085 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
7 suppliers38 claims4,740 services$1.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Urology
350 W WILSON BRIDGE RD STE 100
WORTHINGTON, OH 43085
Urology
350 W WILSON BRIDGE RD STE 100
WORTHINGTON, OH 43085
Urology
350 W WILSON BRIDGE RD STE 100
WORTHINGTON, OH 43085
Nurse Practitioner
350 W WILSON BRIDGE RD STE 100
WORTHINGTON, OH 43085
Urology
350 W WILSON BRIDGE RD STE 100
WORTHINGTON, OH 43085
Urology
350 W WILSON BRIDGE RD STE 100
WORTHINGTON, OH 43085
Physician Assistant
350 W WILSON BRIDGE RD STE 100
WORTHINGTON, OH 43085
Registered Nurse
350 W WILSON BRIDGE RD STE 100
WORTHINGTON, OH 43085

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 Michael Gambla's NPI number?

The NPI number for Michael Gambla is 1952367641. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Where is Michael Gambla located?

Michael Gambla practices at 350 W Wilson Bridge Rd Ste 100, Worthington, OH 43085. The listed phone number is (614) 796-2900.

What is Michael Gambla's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Michael Gambla enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Gambla accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Michael Gambla 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 Michael Gambla affiliated with any hospitals?

According to CMS data, Michael Gambla is affiliated with Riverside Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Gambla was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.