Doctor profile · Federal record

Dr. Gary Khammahavong, MD

Emergency Medicine Physician (CMS: Emergency Medicine) · Emergency Medicine Physician · Student in an Organized Health Care Education/Training Program · Van Nuys, CA

  • NPI 1760989636
  • Accepts Medicare
  • MIPS 79.3 / 100 · 2023
  • 8 yrs in practice
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
15107 Vanowen St
Van Nuys, CA 914054542
(818) 782-6600
Mailing address
185 39Th St Apt D104
Pittsburgh, PA 152013235

Credentials & registration

NPPES · NUCC
NPI registered
April 2018 — 8 yrs on file
Profile last updated
March 2, 2022
Year of graduation
2018 — 8 yrs since
Specialty taxonomy
207P00000X — NUCC code
State licenses (2)
California #A175022 · Pennsylvania #MD474559

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1760989636. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
620
Distinct HCPCS
5
Medicare allowed
$72,424
HCPCS Description Services Patients Avg allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 231 201 $9
99285 Emergency department visit with high level of medical decision making 180 174 $184
99291 Critical care, first 30-74 minutes 130 127 $226
99284 Emergency department visit with moderate level of medical decision making 61 61 $127
71045 X-ray of chest, 1 view 18 18 $9

In context: peer comparison

Among 6 peers in Van Nuys Emergency Medicine Physician, average services per provider: 110. This provider delivers 5.6× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$15
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Abbvie INC. 1 $15.41

By nature of payment

Food and Beverage
$15

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
60
Patients
60
Total drug cost
$484
Drug Type Claims Patients Total cost
Cephalexin Generic 33 33 $277
Ciprofloxacin Hcl Generic 14 14 $111
Ondansetron Odt (Ondansetron) Brand 13 13 $96

Frequently asked questions

Auto-generated from federal data
What is Dr. Gary Khammahavong's medical specialty?
Dr. Gary Khammahavong practices Emergency Medicine Physician in Van Nuys, CA.
Where does Dr. Gary Khammahavong practice?
Dr. Gary Khammahavong practices at 15107 Vanowen St, Van Nuys, CA 914054542. Office phone: 8187826600.
What is Dr. Gary Khammahavong's NPI?
Dr. Gary Khammahavong's National Provider Identifier (NPI) is 1760989636, issued by NPPES.
Does Dr. Gary Khammahavong accept Medicare assignment?
Yes. Dr. Gary Khammahavong accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Gary Khammahavong commonly perform?
Top Medicare-reported procedures in 2023: Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010); Emergency department visit with high level of medical decision making (HCPCS 99285); Critical care (HCPCS 99291). Source: CMS Medicare Physician & Other Practitioners file.