npidexNPI registry + Medicare data

STANFORD GAMMON, P.A.

Surgical Physician Assistant · IDAHO FALLS, ID

Individual Active NPI 1477992592

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
202472377$722,156$27,557$21,761
202395291$617,440$26,059$20,398
202289195$260,502$15,462$11,507

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
22614Fusion of additional segment of spine75$44$35
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion41$29$23
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment24$25$20
22842Placement of stabilizing device to back, 3-6 spine bone segments19$109$87
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more14$71$48
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment14$80$64
22633Fusion of spine in lower back with partial removal of spine bone and disc12$196$156
63052Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back11$30$24
22551Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc11$174$139

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Surgical Physician Assistant363AS0400X✓PA-1328ID

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

Other Surgical Physician Assistant providers in Idaho

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.