Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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James A Gamache, MD

Individual provider Family Medicine Physician · NPI 1619949872

James A Gamache, MD practises Emergency Medicine in Spirit Lake, Iowa. Graduated from Creighton University School of Medicine in 1979, 47 years ago. Practices with Pocahontas Community Hospital, an 8-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
47
Trained at
Creighton University School of Medicine
Licensed in
IA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Highway 71 S
Spirit Lake, IA 51360 Not confirmed with CMS for 19 years — call before visiting
Phone: (712) 336-1230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 22168 (IA)

Record details

NPI number1619949872
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 2, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1979 (47 years in practice)
Group practice Pocahontas Community Hospital — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients64
Services billed 70 a service is one billed item, such as a visit, a test or a procedure
Average patient age79

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Pocahontas Community Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 8 clinicians in the practice; 1 are shown here.

Other providers in Spirit Lake