Stanford Benjamin Gammon, P.A. is a surgical physician assistant in Idaho Falls, ID with 11 years of experience. Stanford Benjamin Gammon, P.A. NPI is 1477992592. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3200 CHANNING WAY STE 205A
IDAHO FALLS, ID
ZIP 83404-586
Phone: (208) 535-4580
Fax: (208) 535-4520
The NPI 1477992592 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Harvest of veins for coronary artery bypass procedure using an endoscope (HCPCS:33508)
- Heart artery bypass to repair one artery (HCPCS:33533)
- Combined multiple vein and artery heart artery bypasses (HCPCS:33519)
- Combined multiple vein and artery heart artery bypasses (HCPCS:33518)
- Replacement of left lower heart chamber valve using artificial valve on heart-lung machine (HCPCS:33405)
The enumeration date for this NPI number is 6/21/2013 and was last updated on 11/25/2020.