What is James Gamache's specialty?

James Gamache (NPI 1619949872) is a Medicare-billing provider whose primary specialty is Emergency Medicine in Spirit Lake, IA.

Where does James Gamache practice?

James Gamache practices in Spirit Lake, IA, based on the location reported in the CMS Medicare provider datasets for NPI 1619949872.

How much does Medicare pay James Gamache?

James Gamache (NPI 1619949872) received approximately $6K in total Medicare Part B payments, serving 64 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1619949872

James GamacheMD

PRACTICEDR. HOFFMAN & ASSOCIATES, P.A.See all providers at this practice →

Emergency MedicineSpirit Lake, IAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

Distinct HCPCS

Medicare payment

$4K

Peer benchmark

Total Medicare services vs. 334 Emergency Medicine providers in IA — bottom quintile (cohort median 314).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$170

Distinct drugs

Brand share

33.3%

Top prescribed drugs

Azithromycin14 claims

Ondansetron14 claims

Prednisone14 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where James Gamache's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 16 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
SPENCER MUNICIPAL HOSPITAL	166	608
Casey Shaffer Diagnostic Radiology · Cedar Rapids, IA	118	332
CROUCH, CHARLES	105	282
Jeffrey Goerss Family Practice · Spirit Lake, IA	85	351
Brett Olson Family Practice · Spirit Lake, IA	31	210
Kelli Roenfanz Family Practice · Des Moines, IA	23	138
Timothy Taylor Emergency Medicine · Spirit Lake, IA	21	130
Zachary Borus Family Practice · Spirit Lake, IA	20	131
John Hilsabeck Family Practice · Spencer, IA	20	80
Travis Witt Family Practice · Spencer, IA	19	74
HEART HOSPITAL OF SOUTH DAKOTA LLC	18	48
Andrew Obamwonyi Emergency Medicine · Robins Air Force Base, GA	16	101

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history