Medicare billing address
CMS Medicare provider billing file
3471 Fifth Ave,Suite 402 Kaufmann Medical Building
Pittsburgh, PA 15213
CMS public data · NPI 1538518196
Dr. Willy D Gama: Medicare prescribing and billing data
CMS public files list billing, prescribing, location, and participation fields for this NPI. Current plan networks, appointment availability, clinical outcomes, and patient-specific medical advice require separate verification.
CMS display name
Willy D Gama, M.D.
Specialty
Credential
M.D.
NPI
1538518196
Primary source state
PA
Data retrieval date
July 28, 2026
What related Medicare data is on this site?
Pennsylvania doctorsState Doctor hubAnesthesiologyState-specialty hubPittsburgh, PAPrimary city link if this route exists
Where these numbers come from, and what they cannot tell you
Public CMS records, 2024 reporting year. These are historical Medicare fields, not proof of current coverage, appointment availability, quality, or what someone will pay.
How should you read this Doctor page?
This page shows Medicare billing and Part D prescribing data for Willy D Gama, M.D. from CMS public files. It covers 2024 claims data: services billed, the beneficiary panel, and the most-prescribed Part D drugs. It does not show current coverage, appointment availability, or quality ratings.
A licensed agent, not a call center
Do your doctors and prescriptions fit before you enroll?
Peter Abilla, Licensed Medicare Insurance Sales Agent, NPN 22265186. Bring the doctors and prescriptions that matter to you, then check the details before you enroll.
What Medicare source indicators are listed for this NPI?
Medicare participating
Yes
Individual assignment
Not reported
Group assignment
Yes
CMS opt-out records
0
Which practice locations appear in CMS files?
When CMS files list more than one address for the same NPI, each address stays tied to the CMS file that reported it.
Suite 402 Kaufmann Medical Building
Pittsburgh, PA 15213
SELECT PHYSICAL THERAPY HOLDINGS INC
CMS Doctors & Clinicians file
10928 Eagle River RdSuite 150
Eagle River, AK 99577
MGM ENTERPRISES LLC
CMS Doctors & Clinicians file
1220 F StAnchorage, AK 99501
AA PAIN CLINIC, INC.
CMS Doctors & Clinicians file
4100 Lake Otis PkwySuite 216
Anchorage, AK 99508
What does the Medicare billing file show?
In the 2024 CMS provider billing file, this NPI had 481 Medicare beneficiaries and 10,810 total services. The average beneficiary age was 69, and the average HCC risk score was 1.3.
Total Medicare allowed amount
$492,561.59
Total Medicare payment amount
$387,788.64
Medicare beneficiaries
481
Total services
10,810
Which patient-panel condition fields does CMS report?
These percentages describe the Medicare beneficiary panel in the CMS utilization file. They are not a diagnosis for any individual patient and are not a quality score.
Hypertension
64%
CMS beneficiary-panel share
Hyperlipidemia
54%
CMS beneficiary-panel share
Mood disorders
33%
CMS beneficiary-panel share
Diabetes
30%
CMS beneficiary-panel share
Anxiety
30%
CMS beneficiary-panel share
Depression
30%
CMS beneficiary-panel share
Where these service numbers come from, and what they cannot tell you
Amounts shown are average Medicare-approved amounts per billed unit in CMS records. What a person pays depends on current coverage and cannot be read from this table alone.
Which Medicare services appear most often?
| CMS service description | Services | Avg allowed |
|---|---|---|
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,272 | $157.70 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,065 | $0.99 |
| Testing for presence of drug, by chemistry analyzers | 495 | $60.18 |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 488 | $21.56 |
| Injection, dexamethasone sodium phosphate, 1 mg | 391 | $0.11 |
| Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 274 | $0.36 |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 154 | $112.45 |
| Aspiration and/or injection of fluid large joint using ultrasound guidance | 67 | $140.33 |
| Electronic analysis reprogramming and refill of spinal canal drug infusion pump | 62 | $104.21 |
| Injection of substance into lower spine canal using imaging guidance | 53 | $296.37 |
Where these Part D numbers come from, and what they cannot tell you
CMS data reports historical prescription drug events attributed to NPI 1538518196. Formularies, copays, prior authorization, and step therapy rules vary by current coverage.
Which drugs did Willy D Gama, M.D. prescribe most often under Medicare Part D?
| Rank | Drug | Generic name | Total claims | 30-day fills | Total drug cost |
|---|---|---|---|---|---|
| 1 | Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 351 | 351 | $9,493.06 |
| 2 | Gabapentin | Gabapentin | 332 | 356 | $4,321.50 |
| 3 | Oxycodone Hcl | Oxycodone Hcl | 295 | 295 | $5,709.22 |
| 4 | Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 169 | 169 | $8,960.22 |
| 5 | Pregabalin | Pregabalin | 134 | 134 | $1,351.43 |
| 6 | Morphine Sulfate Er | Morphine Sulfate | 113 | 113 | $2,192.93 |
| 7 | Tizanidine Hcl | Tizanidine Hcl | 112 | 112.5 | $981.53 |
| 8 | Baclofen | Baclofen | 107 | 111 | $1,567.24 |
| 9 | Tramadol Hcl | Tramadol Hcl | 104 | 104 | $619.03 |
| 10 | Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 97 | 102 | $718.44 |
CMS Part D records are historical aggregate claims data. They do not include current formulary status, pharmacy price, prior-authorization rules, network-directory status, or clinical-outcome data.
What background fields does CMS report?
Medical school
Indiana University School Of Medicine
Graduation year
2016
Group/practice field
Select Physical Therapy Holdings Inc
Telehealth reported
Yes
Secondary specialty fields reported by CMS: Pain Management.
What can this data not tell us?
- Billing data and prescribing data come from different CMS files. Neither one measures clinical outcomes, and neither one tells you whether this doctor is in a specific plan's network.
- Part D records do not report current medication use, plan coverage, price, pharmacy availability, or plan-directory status.
- Where CMS withholds a count for privacy, we show that note instead of a number. A withheld count is not zero.
- CMS billing data does not list Medicare Advantage plan-directory status for this doctor.
- CMS service and prescribing records are historical public-use aggregates; they do not report current appointment availability, clinical outcomes, or patient-specific medical advice.
- Part D provider-and-drug records do not include current formulary status, copay amount, pharmacy price, prior-authorization rules, or step-therapy rules.
What should you verify separately?
Verify plan-directory status, drug formulary rules, pharmacy pricing, appointment availability, and clinical questions against current plan documents and the relevant provider or care team.
Which CMS sources support this page?
The numbers above come from CMS public-use files for this NPI. Each link identifies the CMS release used and the retrieval date.
- Medicare Physician & Other Practitioners - by Provider · 1 records for this NPI · retrieved July 28, 2026
- Medicare Physician & Other Practitioners - by Provider and Service · 31 records for this NPI · retrieved July 28, 2026
- Doctors and Clinicians National Downloadable File · 3 records for this NPI · retrieved July 28, 2026
- Opt-Out Affidavits · 0 records for this NPI · retrieved July 28, 2026
- Medicare Part D Prescribers - by Provider and Drug · 39 records for this NPI · retrieved July 28, 2026
What caveats apply to this page?
- CMS billing and utilization files do not list Medicare Advantage plan networks, appointment availability, or clinical outcomes.
- Part D provider-and-drug files are historical aggregate claims data; they do not report current medication lists, plan coverage, pharmacy price, or prior-authorization rules.
- Where CMS withholds a count for privacy, we show that note instead of a number. A withheld count is not zero.