Individual provider Active NPI

Lee G. Gammon, MD

  • Orthopaedic Surgery Physician
  • Tappahannock, VA
National Provider Identifier
1295262194
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101278242 Issued in VA
Practice address
300 Mt Clement Park Ste B
Tappahannock, VA 22560-5098
Phone
(804) 443-8670
Fax
(804) 443-8675
NPI assigned
May 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2022-01669 NC
Orthopaedic Surgery Physician 207X00000X 0101278242 VA Primary

Addresses

Primary practice location

300 Mt Clement Park Ste B
Tappahannock, VA 22560-5098

Mailing address

PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844

Other practice location 1

1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-9000

Other practice location 2

618 Hospital Rd
Tappahannock, VA 22560-5000
Phone (804) 443-8670

Other practice location 3

11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 360-4669

Other practice location 4

332 N Henry St
Williamsburg, VA 23185-4117
Phone (757) 220-1246

Other practice location 5

1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 828-7069

Other practice location 6

13048 Rivers Bend Rd
Chester, VA 23836-2564
Phone (804) 526-5888

Other practice location 7

9000 Stony Point Pkwy
Richmond, VA 23235-1900
Phone (804) 560-8945

Other practice location 8

1300 W Broad St Ste 113
Richmond, VA 23284-9058
Phone (804) 828-7069

Other practice location 9

131 Jennick Dr
Colonial Heights, VA 23834-4905
Phone (804) 526-5888

Other practice location 10

325 Charles Dimmock Parkway
# 100
Colonial Heights, VA 23834
Phone (804) 526-5888

Other practice location 11

1200 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120002546 VA Practitioner - Orthopedic Surgery 5991075723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Kentucky College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

300 Mt Clement Park
Suite B
Tappahannock, VA 22560-5098
Phone (804) 443-8670

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)23
Upper limb (arm) arthroscopy (minimally invasive joint repair)42
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101278242VAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians Orthopaedic Surgery CurrentSince Sep 23, 2023 Accepting new patients

Locations

13048 Rivers Bend Rd
Chester, VA 23836
Phone (804) 530-0300

325 Charles H Dimmock Pkwy
Ste 100
Colonial Heights, VA 23834
Phone (804) 524-4077

131 Jennick Dr
Colonial Hgts, VA 23834
Phone (804) 562-5888

11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669

1300 W Broad St
Ste 113
Richmond, VA 23284
Phone (804) 828-0822

1200 E Marshall St
Richmond, VA 23298
Phone (804) 827-0561

1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497

1250 E Marshall St
#980153
Richmond, VA 23298
Phone (804) 628-2676

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

9000 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 560-8906

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

618 Hospital Rd
Tappahannock, VA 22560
Phone (804) 443-3311

618 Hospital Rd
#2
Tappahannock, VA 22560

300 Mt Clement Park
Ste B
Tappahannock, VA 22560
Phone (804) 443-8670

332 N Henry St
Williamsburg, VA 23185
Phone (757) 220-1246

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1295262194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780125",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780125",
            "telephone_number": "804-922-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MT CLEMENT PARK STE B",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225605098",
            "telephone_number": "804-443-8670",
            "fax_number": "804-443-8675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-828-9000",
            "fax_number": "804-443-8675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "618 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225605000",
            "country_code": "US",
            "telephone_number": "804-443-8670",
            "fax_number": "804-443-8675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11958 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232331007",
            "country_code": "US",
            "telephone_number": "804-360-4669",
            "fax_number": "804-443-8675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "332 N Henry St",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231854117",
            "country_code": "US",
            "telephone_number": "757-220-1246",
            "fax_number": "804-443-8675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 E Leigh St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985004",
            "country_code": "US",
            "telephone_number": "804-828-7069",
            "fax_number": "804-443-8675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13048 Rivers Bend Rd",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "VA",
            "postal_code": "238362564",
            "country_code": "US",
            "telephone_number": "804-526-5888",
            "fax_number": "804-443-8675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 Stony Point Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232351900",
            "country_code": "US",
            "telephone_number": "804-560-8945",
            "fax_number": "804-443-8675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 W Broad St Ste 113",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232849058",
            "country_code": "US",
            "telephone_number": "804-828-7069",
            "fax_number": "804-443-8675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Jennick Dr",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238344905",
            "country_code": "US",
            "telephone_number": "804-526-5888",
            "fax_number": "804-443-8675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Charles Dimmock Parkway",
            "address_2": "# 100",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "23834",
            "country_code": "US",
            "telephone_number": "804-526-5888",
            "fax_number": "804-443-8675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-828-9000",
            "fax_number": "804-443-8675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMMON",
        "first_name": "LEE",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-23",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2022-01669",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101278242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tappahannock, VA

Sources for this page

Verify at the official NPI Registry.