2026 NPPES data Emergency Medicine Physician NPI 1255339826 M.D.
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JOHN GAMBOL, M.D.

Emergency Medicine Physician in PLACENTIA, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
543
Medicare Part D claims · 147 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
66%
generic claims · 34% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$241.68
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN GAMBOL, M.D. reported a CMS MIPS final score of 0/100 — below the 83.1 national average — and filed 543 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
543
Part D claims, 2023
66%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JOHN GAMBOL, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

JOHN GAMBOL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JOHN GAMBOL, M.D.?

Below national average

NPI registry status

Active

Issued 07/08/2005

NPI 1255339826

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

543 54% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in California

How Emergency Medicine Physician compares to other specialties among California providers

California providers

Emergency Medicine Physician share within California

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within California

Medicare quality performance — MIPS

JOHN GAMBOL, M.D.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Emergency Medicine Physician) — 0/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JOHN GAMBOL, M.D. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding M.D. credentials at 1041 E YORBA LINDA BLVD STE 203, PLACENTIA, CA, 92870, with a listed phone of (818) 709-8161. NPI 1255339826 was issued on 07/08/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAMBOL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 543 prescription claims written by this provider, covering 147 Medicare beneficiaries and totaling roughly $35K in drug spend, split 34% brand-name and 66% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1041 E YORBA LINDA BLVD STE 203
PLACENTIA, CA 92870

Provider Details

NPI 1255339826
Specialty Emergency Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 07/08/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JOHN GAMBOL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$242

Largest payer

Urgo Medical North America, LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to JOHN GAMBOL, M.D.. To verify JOHN GAMBOL, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

JOHN GAMBOL, M.D. — brand share 34.0%
Specialty average (est.)

34% brand-name claims vs 66% generic, on 543 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

543
Total Claims
$35K
Total Drug Cost
147
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
578
Total Day Supply
12,889
Brand vs Generic
34% brand / 66% generic
Brand Drug Cost
$20K
Generic Drug Cost
$14K
Antibiotic Claims
198

Patient Demographics

Average Patient Age
75.4 years
Avg HCC Risk Score
3.44
Gender Split
56% female / 44% male
Age Distribution
<65: 18, 65-74: 46, 75-84: 55, 85+: 28

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JOHN GAMBOL, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Ssd
Silver Sulfadiazine
99
Silver Sulfadiazine
66
Ciprofloxacin Hcl
53
Gentamicin Sulfate
48
Doxycycline Hyclate
45
Levofloxacin
26
Triamcinolone Acetonide
19
Cefpodoxime Proxetil
17
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
17
Fluconazole
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Emergency Medicine Physician Overview

How JOHN GAMBOL, M.D. fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

JOHN GAMBOL, M.D.'s 543 claims are above the specialty average of 352.

Nearby Emergency Medicine Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as GAMBOL.

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN GAMBOL, M.D.'s specialty?
JOHN GAMBOL, M.D. specializes in Emergency Medicine Physician and practices in PLACENTIA, California. Credentials: M.D..
How much does JOHN GAMBOL, M.D. prescribe under Medicare Part D?
In 2023, JOHN GAMBOL, M.D. wrote 543 Medicare Part D claims totaling $35K in drug costs for 147 beneficiaries.
What is JOHN GAMBOL, M.D.'s Medicare quality score?
JOHN GAMBOL, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN GAMBOL, M.D. located?
JOHN GAMBOL, M.D. is located at 1041 E YORBA LINDA BLVD STE 203, PLACENTIA, CA, 92870. Phone: (818) 709-8161.
What is JOHN GAMBOL, M.D.'s NPI number?
JOHN GAMBOL, M.D.'s National Provider Identifier (NPI) is 1255339826, issued on 07/08/2005.
Does JOHN GAMBOL, M.D. prescribe more brand-name or generic drugs?
JOHN GAMBOL, M.D.'s prescribing is 34% brand-name and 66% generic drugs by claim count, with $20K in brand drug costs.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does JOHN GAMBOL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOHN GAMBOL, M.D.'s most frequently prescribed drugs include Ssd, Silver Sulfadiazine, Ciprofloxacin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN GAMBOL, M.D. accept Medicare?
JOHN GAMBOL, M.D. appears in CMS Medicare data with 543 Part D claims and 147 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN GAMBOL, M.D.'s credentials?
JOHN GAMBOL, M.D.'s NPI is 1255339826 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology