NPPES file of Aug 9, 2026

Edgar C. Gamponia, M.D.

Ophthalmology Physician · Morgantown, WV

Edgar C. Gamponia, M.D. is an ophthalmology physician with a practice address in Morgantown, West Virginia, and NPI 1053487736, issued on Nov 27, 2006. Check the license (West Virginia 18863, as entered in NPPES) on the West Virginia Board of Medicine; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053487736
Name
Edgar C. Gamponia
Credential
M.D.
Primary taxonomy
Ophthalmology Physician 207W00000X
License number
18863 WV
Self-reported in NPPES; status is on the state search
Practice location
1255 Pineview Dr, Morgantown, WV 26505
Phone
(304) 598-3301
Enumerated
Nov 27, 2006
Record last updated
Aug 15, 2023
Fax
(304) 599-7346
Medicaid ID
0096473000 WV
Medicare enrollment
Enrolled (PECOS I20051221001066); accepts Medicare assignment
Medical or professional school
West Virginia University School Of Medicine, 1993
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1255 Pineview Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Lauren Digiovine, M.D.Ophthalmology Physician1285948836
  2. Erick Henderson, OD, FAAOOptometrist1912437872
  3. Heath Lemley, M.D.Ophthalmology Physician1215000369
  4. Mark Mayle, M.D.Ophthalmology Physician1528131703
  5. David McClure, M.D.Ophthalmology Physician1851464028
  6. Gary Miller, MDOphthalmology Physician1588866818

Verify Edgar C. Gamponia in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWest Virginia Board of Medicine
    Search for license 18863
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the West Virginia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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62% more Medicare Part D claims than the average ophthalmology physician in 2024

2,456 Medicare Part D claims for 629 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 28% of claims.

  1. Edgar Gamponia2,456
  2. Specialty average1,518

Most prescribed

  1. Latanoprost614 claims
  2. Timolol Maleate358 claims
  3. Prednisolone Acetate247 claims
  4. Ketorolac Tromethamine166 claims
  5. Ofloxacin149 claims
  6. Brimonidine Tartrate138 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 76.5 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costout of 100 · 30%21.5
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $512.54

19 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Edgar Gamponia$512.54
  2. Specialty average$4,535.02

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Regional Eye Associates IncWeston, WV

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Edgar C. Gamponia among 106 ophthalmology physician records in West Virginia

Edgar C. Gamponia, M.D. is one of 106 ophthalmology physician records with a practice address in West Virginia. 70% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 13% of them.

  • NPI issued2006 · 13% of these records are older, 25% newer
  • In a Medicare fileYes · 70% of these records are
  • In the CMS Doctors and Clinicians fileYes · 58% of these records are
  • Graduated1993 · median 1996 among the 60 with a school on file
  • Record last updated2023 · 58% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a West Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Ophthalmology Physician providers in West Virginia

There are 106 ophthalmology physician records in West Virginia.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Lauren Digiovine, M.D.Morgantown, WV 265051285948836
  2. Nabil Jabbour, M.D.Morgantown, WV 265051891770525
  3. Lingo Lai, M.D.Morgantown, WV 265051659692390
  4. Heath Lemley, M.D.Morgantown, WV 265051215000369
  5. Mark Mayle, M.D.Morgantown, WV 265051528131703
  6. David McClure, M.D.Morgantown, WV 265051851464028
  7. Gary Miller, MDMorgantown, WV 265051588866818
  8. Stephen Powell, M.D.Morgantown, WV 265051982777017

Common questions

What is Edgar C. Gamponia, M.D.'s NPI number?

Edgar C. Gamponia, M.D.'s National Provider Identifier (NPI) is 1053487736, issued on Nov 27, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Edgar C. Gamponia, M.D. located?

The NPPES record lists a practice address at 1255 Pineview Dr, Morgantown, WV, 26505. Phone: (304) 598-3301. Providers update this record themselves, so call before visiting.

How can I verify Edgar C. Gamponia, M.D.'s license?

NPPES lists West Virginia license number 18863, as entered by the provider. Search the West Virginia Board of Medicine at https://wvbom.wv.gov/public/search/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Edgar C. Gamponia, M.D. prescribe under Medicare Part D?

In 2024, Edgar C. Gamponia, M.D. had 2,456 Medicare Part D claims for 629 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

What is Edgar C. Gamponia, M.D.'s MIPS final score?

The 2023 MIPS final score is 76.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.