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:
3345 POTOMAC WAY
IDAHO FALLS, ID
ZIP 83404-978
Phone: (208) 552-7572
Fax: (208) 552-7312
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.
- X-ray of chest, 2 views (HCPCS:71046)
- Heart artery bypass to repair one artery (HCPCS:33533)
- Harvest of veins for coronary artery bypass procedure using an endoscope (HCPCS:33508)
The enumeration date for this NPI number is 6/21/2013 and was last updated on 7/7/2022.