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DR. MICHAEL DOW GILMORE M.D.
NPI 1013961283
Orthopaedic Surgery in Pensacola, FL

Active since May 20, 2006Opted out of Medicare · through Jul 1, 2027
2401 LANGLEY AVE UNIT B, PENSACOLA, FL 32504(850) 407-7840(850) 407-7839 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2024, Aug 23, 2018 (2 updates tracked since 2018).

About Dr. Michael Dow Gilmore M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL DOW GILMORE M.D. (NPI 1013961283) is an individual orthopaedic surgery provider in Pensacola, Florida, licensed in Florida (ME83504) and active in the NPI registry since May 2006. He has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1013961283
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MICHAEL DOW GILMORECredential: M.D.
Location Address2401 LANGLEY AVE UNIT BPensacola, FL 32504-8922
Mailing Address2401 Langley Ave Unit BPensacola, FL 32504-8922 · (850) 407-7840 · Fax (850) 407-7839
Phone(850) 407-7840
Fax(850) 407-7839
Sole ProprietorNo
Enumeration DateMay 20, 2006
Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1013961283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in FL · ME83504
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2401 LANGLEY AVE UNIT B, Pensacola, FL 32504
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Other Identifiers 1

Other43258FL · Individual Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michael Dow Gilmore M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2017 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2017
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LINDSAY W KOPPES DPT
Physical Therapist
2401 LANGLEY AVE UNIT B
PENSACOLA, FL 32504
Escambia County (850) 407-7840
PANHANDLE ORTHOPAEDICS LLC
Orthopaedic Surgery
2401 LANGLEY AVE UNIT B
PENSACOLA, FL 32504
Escambia County (850) 398-8480
PANHANDLE ORTHOPAEDICS LLC
Orthopaedic Surgery
2401 LANGLEY AVE UNIT B
PENSACOLA, FL 32504
Escambia County (850) 407-7840
PANHANDLE ORTHOPAEDICS LLC
Orthopaedic Surgery
2401 LANGLEY AVE UNIT B
PENSACOLA, FL 32504
Escambia County (850) 407-7840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Gilmore's NPI number?

The NPI number for Michael Gilmore is 1013961283. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Michael Gilmore located?

Michael Gilmore practices at 2401 Langley Ave Unit B, Pensacola, FL 32504. The listed phone number is (850) 407-7840.

What is Michael Gilmore's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Gilmore enrolled in Medicare?

No. Michael Gilmore has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Michael Gilmore accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Michael Gilmore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Gilmore was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.