Doctor profile · Federal record
Dr. James Gamache, MD
Family Medicine Physician (CMS: Emergency Medicine) · Spirit Lake, IA
- NPI 1619949872
- Accepts Medicare
- 47 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
Highway 71 South
Spirit Lake, IA 51360
(712) 336-1230 - Mailing address
-
2804 Chaplin Dr
Milford, IA 51351
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 1979 — 47 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Iowa #22168
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1619949872. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
85
Distinct HCPCS
3
Medicare allowed
$9,481
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99284 |
Emergency department visit with moderate level of medical decision making | 43 | 43 | $108 | |
99283 |
Emergency department visit with low level of medical decision making | 21 | 21 | $66 | |
99285 |
Emergency department visit with high level of medical decision making | 21 | 21 | $164 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 107. This provider delivers 0.8× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
25
Patients
25
Total drug cost
$109
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 13 | 13 | $60 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 12 | 12 | $49 |
Frequently asked questions
What is Dr. James Gamache's medical specialty?
Dr. James Gamache practices Family Medicine Physician in Spirit Lake, IA.
Where does Dr. James Gamache practice?
Dr. James Gamache practices at Highway 71 South, Spirit Lake, IA 51360. Office phone: 7123361230.
What is Dr. James Gamache's NPI?
Dr. James Gamache's National Provider Identifier (NPI) is 1619949872, issued by NPPES.
Does Dr. James Gamache accept Medicare assignment?
Yes. Dr. James Gamache accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. James Gamache commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with moderate level of medical decision making (HCPCS 99284); Emergency department visit with low level of medical decision making (HCPCS 99283); Emergency department visit with high level of medical decision making (HCPCS 99285). Source: CMS Medicare Physician & Other Practitioners file.