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DR. JOSEPH EISELE GILLHAM M.D.
NPI 1053624296
Family Medicine in Rockingham, NC

Active since July 16, 2010PECOS EnrolledAccepts Medicare Assignment
88.68/100
CMS Quality Rating
921 S LONG DR STE 101, ROCKINGHAM, NC 28379(910) 417-3850 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2023, Jul 21, 2022, May 30, 2017 (3 updates tracked since 2017).

About Dr. Joseph Eisele Gillham M.d. NPPES

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

DR. JOSEPH EISELE GILLHAM M.D. (NPI 1053624296) is an individual family medicine provider in Rockingham, North Carolina, licensed in North Carolina (2014-02114) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Colorado Springs, and is a graduate of Howard University College Of Medicine (2010).

NPPES Registry Identity

NPI1053624296
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSEPH EISELE GILLHAMCredential: M.D.
Location Address921 S LONG DR STE 101Rockingham, NC 28379-4874
Mailing AddressPo Box 17990Belfast, ME 04915 · (910) 417-3850
Phone(910) 417-3850
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 2010
Enumeration DateJuly 16, 2010
Last NPPES UpdateOctober 31, 20233 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1053624296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NC · 2014-02114✔ Licensed in VA · 0116022508✔ Licensed in CO · DR.0071618
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
921 S LONG DR STE 101, Rockingham, NC 28379
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Secondary Practice Location 1

Location 15818 N Nevada Ave Ste 200Colorado Springs, CO 80918-3505 · Phone (719) 599-0444 · Fax (719) 365-7150

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joseph Eisele Gillham M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214204221
PECOS Enrollment IDI20231121000076
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
209 services175 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
153 services112 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
118 services118 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
39 services37 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28379 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.59
Promoting Interoperability96
Improvement Activities40
Cost84.03

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers41 claims120 services$5.67 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers24 claims38 services$1.09 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers15 claims15 services$54.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. JENNIFER GOODWIN WILSON AGPCNP
Nurse Practitioner
921 S LONG DR STE 101
ROCKINGHAM, NC 28379
Richmond County (910) 417-3850
JACLYN BATES
Physician Assistant
921 S LONG DR STE 101
ROCKINGHAM, NC 28379
Richmond County (910) 417-3850
SAMANTHA CRAVEN AMMONS FNP
Nurse Practitioner (Family)
921 S LONG DR STE 101
ROCKINGHAM, NC 28379
Richmond County (910) 417-3850
MEREDITH HATCHELL
Pharmacist (Ambulatory Care)
921 S LONG DR STE 101
ROCKINGHAM, NC 28379
Richmond County (910) 417-3834

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 Joseph Gillham's NPI number?

The NPI number for Joseph Gillham is 1053624296. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Where is Joseph Gillham located?

Joseph Gillham practices at 921 S Long Dr Ste 101, Rockingham, NC 28379. The listed phone number is (910) 417-3850.

What is Joseph Gillham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joseph Gillham enrolled in Medicare?

Yes. Joseph Gillham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joseph Gillham accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Joseph Gillham 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 Joseph Gillham was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.