Active NPI 1275517153 Individual Practitioner Male Practitioner

Dr. Reza Alex Gamagami , MD

Surgery • New Lenox, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Reza Gamagami, MD is a certified Surgery practicing in New Lenox, IL. With approximately 37 years of clinical experience since graduating from George Washington University School Of Medicine in 1989, Dr. Gamagami delivers high-quality medical care to the local community at 1890 SILVER CROSS BLVD.

Dr. Gamagami is affiliated with Progressive Surgical Associates Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1890 Silver Cross Blvd
Suite 410

New Lenox, IL 604519524

Telephone 8157178730

Fax 8157178729

Associated Practice Facility / Clinic

🏢 Zafer Jawich M.d. S.c. Facility NPI 1497842884

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in New Lenox, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +8.1 yrs vs City Avg

City Avg: 28.9 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

8 Specialists

Practicing in New Lenox, IL (1624 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gamagami (37 Years) 37 Yrs

New Lenox Specialty Average (28.9 Years) 28.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	239	182	$170.00	$92.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	166	166	$300.63	$172.51
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	98	96	$1000.00	$104.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	84	$255.00	$127.06
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	49	49	$1155.00	$188.35
45378 Diagnostic exam of large bowel using a flexible endoscope	39	39	$1155.00	$186.21
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	36	36	$1640.00	$259.02
49650 Repair of groin hernia using an endoscope	34	34	$2485.00	$521.84
45380 Biopsy of large bowel using an endoscope	33	33	$1260.00	$188.54
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	31	31	$4515.00	$755.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$255.00	$113.24
46221 Removal of external hemorrhoids by rubber banding	24	18	$675.00	$295.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$90.00	$58.19
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$550.00	$227.44
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	18	18	$5601.00	$1908.50
15860 Injection of agent into vein to assess blood flow of skin graft or flap	17	17	$351.76	$58.98
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$1155.00	$188.88
49905 Repair of abdomen using abdominal lining graft	17	17	$917.00	$374.67
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	17	17	$5900.00	$1839.02
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	12	12	$5056.00	$1230.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$450.00	$133.35
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	12	12	$545.00	$53.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	184	148	$170.00	$92.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	157	157	$300.73	$172.66
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	92	88	$1000.00	$108.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	76	$255.00	$131.70
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	58	58	$1155.00	$191.33
45378 Diagnostic exam of large bowel using a flexible endoscope	45	43	$1155.00	$187.70
45380 Biopsy of large bowel using an endoscope	39	39	$1260.00	$178.94
49650 Repair of groin hernia using an endoscope	37	37	$2485.00	$497.37
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	33	33	$1640.00	$263.53
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	32	32	$1155.00	$191.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$450.00	$134.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	31	$90.00	$57.49
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	29	29	$4515.00	$773.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$255.00	$117.45
46221 Removal of external hemorrhoids by rubber banding	27	19	$675.00	$302.23
99441 Telephone medical discussion with physician, 5-10 minutes	23	23	$90.00	$55.89
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$550.00	$228.69
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	19	19	$5900.00	$1769.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	13	$250.00	$81.74
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	15	15	$5056.00	$1474.61
49905 Repair of abdomen using abdominal lining graft	15	15	$917.00	$380.59
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	11	11	$5360.00	$1445.97
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	11	11	$5601.00	$2043.12
49593 Initial repair of sliding hernia of abdomen, 3-10 cm in length	11	11	$1800.00	$567.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	194	161	$170.00	$94.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	132	132	$299.00	$172.33
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	94	88	$1000.00	$101.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	70	$255.00	$134.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$255.00	$119.66
45380 Biopsy of large bowel using an endoscope	45	45	$1260.00	$190.46
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	42	42	$1155.00	$195.09
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	41	41	$1640.00	$270.11
45378 Diagnostic exam of large bowel using a flexible endoscope	40	40	$1155.00	$190.37
46221 Removal of external hemorrhoids by rubber banding	40	26	$675.00	$314.33
49650 Repair of groin hernia using an endoscope	39	39	$2485.00	$531.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$450.00	$140.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	22	$250.00	$71.82
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	28	28	$4515.00	$737.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$90.00	$57.95
49905 Repair of abdomen using abdominal lining graft	20	20	$917.00	$389.31
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	15	15	$5360.00	$1469.67
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$1155.00	$196.48
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	12	12	$5056.00	$1264.00
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$920.00	$82.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	177	148	$170.00	$95.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	167	167	$300.62	$178.14
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	89	85	$1000.00	$103.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	71	$255.00	$137.74
45380 Biopsy of large bowel using an endoscope	57	57	$1260.00	$196.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$255.00	$119.99
46221 Removal of external hemorrhoids by rubber banding	50	33	$675.00	$319.16
49650 Repair of groin hernia using an endoscope	36	36	$2485.00	$533.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	35	$90.00	$59.81
45378 Diagnostic exam of large bowel using a flexible endoscope	33	33	$1155.00	$194.24
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	33	32	$1640.00	$264.51
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	27	27	$1155.00	$200.06
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	26	26	$4515.00	$784.85
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$920.00	$69.70
49905 Repair of abdomen using abdominal lining graft	18	18	$917.00	$393.55
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$1155.00	$200.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$450.00	$142.66
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	14	14	$5601.00	$2130.89
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	11	11	$545.00	$54.63
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	11	11	$5900.00	$1947.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	176	146	$170.00	$79.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	139	139	$299.00	$175.33
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	69	65	$1000.00	$112.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	59	$256.77	$113.15
45380 Biopsy of large bowel using an endoscope	50	50	$1260.00	$216.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	43	$90.00	$47.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$255.00	$111.33
45378 Diagnostic exam of large bowel using a flexible endoscope	27	27	$1155.00	$204.17
49650 Repair of groin hernia using an endoscope	21	21	$2485.00	$561.78
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	20	20	$5601.00	$2101.05
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$1155.00	$204.35
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$4515.00	$795.73
49905 Repair of abdomen using abdominal lining graft	15	15	$877.00	$404.37
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	13	13	$4700.00	$1019.00
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1640.00	$280.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	259	202	$170.00	$76.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	123	123	$299.58	$169.94
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	84	80	$1000.00	$117.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	65	$255.00	$113.96
45378 Diagnostic exam of large bowel using a flexible endoscope	61	61	$1155.00	$203.02
45380 Biopsy of large bowel using an endoscope	58	58	$1260.00	$192.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	37	$90.00	$45.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$255.00	$115.28
49650 Repair of groin hernia using an endoscope	21	21	$2958.14	$560.00
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$1640.00	$284.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$670.00	$213.83
49905 Repair of abdomen using abdominal lining graft	16	15	$717.00	$401.37
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$4515.00	$750.46
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	13	13	$5566.15	$1540.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$550.00	$219.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	272	207	$170.00	$73.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	139	139	$299.51	$167.62
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	95	92	$1000.00	$107.27
45378 Diagnostic exam of large bowel using a flexible endoscope	74	73	$1155.00	$192.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	53	$255.00	$107.98
45380 Biopsy of large bowel using an endoscope	55	55	$1260.00	$206.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$255.00	$110.92
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	30	30	$19.00	$5.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$90.00	$44.92
49650 Repair of groin hernia using an endoscope	27	27	$3037.00	$559.59
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	25	25	$1640.00	$274.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$551.74	$204.37
49905 Repair of abdomen using abdominal lining graft	17	17	$717.00	$385.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$670.00	$206.95
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	14	14	$4700.00	$1050.95
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$4515.00	$736.75
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	13	13	$5900.00	$1897.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	242	191	$170.00	$73.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	133	133	$299.00	$166.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	71	$255.00	$109.19
45380 Biopsy of large bowel using an endoscope	73	73	$1260.00	$200.73
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	61	61	$1000.00	$103.72
45378 Diagnostic exam of large bowel using a flexible endoscope	56	56	$1155.00	$199.20
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	42	42	$19.00	$6.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$255.00	$111.01
49650 Repair of groin hernia using an endoscope	30	30	$2899.00	$535.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	25	$670.00	$206.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$90.00	$44.62
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$1640.00	$275.28
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	18	18	$4577.67	$765.98
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	16	15	$390.00	$45.19
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$551.43	$211.34

Medical Specialties & State Licenses

CMS Verified: 2024-01-18

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036-103521

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036-103521 (IL)

Hospital & Practice Group Affiliations

Progressive Surgical Associates Sc

1890 Silver Cross Blvd, New Lenox, IL 604519547

Phone: 8157178730

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Nikesh Lath , MD

Surgery

NPI 1194012260

Doctor of Medicine (M.D.)

Dr. Erik Borncamp , MD

Surgery

NPI 1689647661

Doctor of Medicine (M.D.)

Dr. Laura Ragauskaite , MD

Surgery

NPI 1720234222

Doctor of Medicine (M.D.)

Katherine Powers , PA-C

Physician Assistant - Surgical

NPI 1932503786

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 10, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 10, 2012

Registered at 1890 SILVER CROSS BLVD, SUITE 410, NEW LENOX, IL 604519524 (Tel: 8157178730)

📍

Updated Business Mailing Address August 10, 2012

Registered at 1890 SILVER CROSS BLVD, SUITE 410, NEW LENOX, IL 604519524 (Tel: 8157178730)

👤

Provider Name / Credentials Updated August 10, 2012

Recorded as REZA GAMAGAMI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2012

Surgery (License #036-103521 in IL)

🟢

Initial NPI Registration & Enumeration December 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275517153

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 03, 2005

Last Update: January 18, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1890 Silver Cross Blvd, Suite 410

New Lenox, IL 604519524

Phone: 8157178730

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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