James A. Gamache, MD
NPI 1619949872ActiveIndividual· Family Medicine· Spirit Lake, IA
Family Medicine (MD) in Spirit Lake, Iowa, trained at Creighton University School of Medicine (class of 1979). 64 Medicare patients in 2024, $5,915 paid; nearly all of their 134 Part D prescriptions were generic (93%).
Overview
| NPI | 1619949872 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Feb 2, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 22168 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 64 |
|---|---|
| Services billed | 70 across 10 procedure codes |
| Paid by Medicare | $5,915 |
Part D prescriptions in 2024
| Prescriptions (claims) | 134 · 136 30-day fills |
|---|---|
| Patients | 73 |
| Total drug cost | $3,422 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | Creighton University School of Medicine |
|---|---|
| Graduation year | 1979 |
| Medicare specialty | Emergency Medicine |
Medical group
- Pocahontas Community HospitalPocahontas, IA · 9 clinicians
Hospital affiliation
- Pocahontas Community HospitalPocahontas, IA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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