DR. KENNETH L. GAMMON (M.D.) – Pulmonary Disease Physician, NPI 1528061447

DR. KENNETH L. GAMMON (M.D.) is a healthcare provider. based in Elkhart, Indiana. specializing in HOSPITALIST, PULMONARY DISEASE, INTERNAL MEDICINE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. 01029946A (IN). The NPI Number for DR. KENNETH L. GAMMON (M.D.) is 1528061447

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH L. GAMMON (M.D.)
NPI
1528061447
Phone
(574) 296-3314
Address
PO BOX 2968
Enumeration Date
24 May 2005
Last Update Date
29 May 2015

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8128825220
Graduation Year
1975 (51 years ago)
PAC ID
8820090194
Group Practice PAC ID
8729155742
Professional Enrollment ID
I20110406000220
Address ID
IN475911038VI520XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

878 HOSPITALIST in IN

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Provider Addresses for DR. KENNETH L. GAMMON (M.D.)

  • Elkhart Post Office, 263, Northwest Main Street, Elkhart, Polk County, Iowa, 50073, United States

    ELKHART, IN 465152968

    Phone: (574) 296-3314

    Fax: (574) 296-3351

    Type: Mailing

  • South Nappanee Street, Elkhart, Elkhart County, Indiana, 46514, United States

    ELKHART, IN 465142066

    Phone: (574) 296-3314

    Fax: (574) 296-3351

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-08-01 • Largest payer in this snapshot: ABBVIE INC. ($30).

Total Amount

$60

General + Research + Ownership

Payments

2

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110406000220IPulmonary DiseaseINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes238226$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes135132$0
View full utilization report →

Insurance plans in this area (ZIP 46515)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729155742View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineIN
Nurse PractitionerIN
Physician AssistantIN
-NV
Internal MedicineIN
Internal MedicineIL
Hospitalist, Internal Medicine, Internal MedicineNY
Internal MedicineIN
Internal Medicine, HospitalistPA
Nurse PractitionerWA

Reviews

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Frequently asked questions

What is DR. KENNETH L. GAMMON (M.D.)'s NPI number?
DR. KENNETH L. GAMMON (M.D.)'s NPI is 1528061447 — the number used across U.S. healthcare to identify this provider.
Is DR. KENNETH L. GAMMON (M.D.) shown as active in public data?
Registry records indicate DR. KENNETH L. GAMMON (M.D.) maintains an active NPI.
What area of care is associated with DR. KENNETH L. GAMMON (M.D.)?
DR. KENNETH L. GAMMON (M.D.)'s record emphasizes Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Is DR. KENNETH L. GAMMON (M.D.) associated with Elkhart?
Public fields place DR. KENNETH L. GAMMON (M.D.) around Elkhart, Indiana. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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