JEFFREY RONALD GAMBACH (MD) – Diagnostic Radiology Physician, NPI 1558362947
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,803 DIAGNOSTIC RADIOLOGY in MN
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Provider Addresses for JEFFREY RONALD GAMBACH (MD)
2800, Campus Drive, Plymouth, Hennepin County, Minnesota, 55441, United States
#10
PLYMOUTH, MN 554412645
Phone: (763) 559-2171
Fax: (763) 694-9000
Type: Mailing
North Memorial Medical Center, 3300, Oakdale Avenue North, Robbinsdale, Hennepin County, Minnesota, 55422, United States
ROBBINSDALE, MN 554222926
Phone: (763) 559-2171
Fax: (763) 694-9000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-03-28
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040324000964 | I | Diagnostic Radiology | MN | TBD |
| I20230328000086 | I | Diagnostic Radiology | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,200 | 22 | $0 |
| A9585 | Injection, gadobutrol, 0.1 ml | 1,162 | 12 | $0 |
| 71045 | X-ray of chest, 1 view | 384 | 322 | $0 |
| 71046 | X-ray of chest, 2 views | 199 | 196 | $0 |
| 70450 | Ct scan head or brain without contrast | 165 | 157 | $0 |
Insurance plans in this area (ZIP 55441)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MN | 71010 | X-ray of chest, 1 view, front | 335 | 292 |
| DIAGNOSTIC RADIOLOGY | MN | 73562 | X-ray of knee, 3 views | 12 | 11 |
| DIAGNOSTIC RADIOLOGY | MN | 73630 | X-ray of foot, minimum of 3 views | 27 | 25 |
| DIAGNOSTIC RADIOLOGY | MN | 74177 | CT scan of abdomen and pelvis with contrast | 136 | 130 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Interventional Radiology | MN | |
| Diagnostic Radiology, Interventional Radiology | MN | |
| Diagnostic Radiology | ND | |
| Interventional Radiology, Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| - | MN |
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