THOMAS GILMORE
NPI 1063654614
Emergency Medicine in Willimantic, CT

Active since March 28, 2009PECOS EnrolledAccepts Medicare Assignment
112 MANSFIELD AVE, WINDHAM HOSPITAL, WILLIMANTIC, CT 06226(215) 955-9837 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thomas Gilmore NPPES

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

THOMAS GILMORE (NPI 1063654614) is an individual emergency medicine provider in Willimantic, Connecticut, licensed in Connecticut (50720) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2009).

NPPES Registry Identity

NPI1063654614
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHOMAS GILMORE
Location Address112 MANSFIELD AVE, WINDHAM HOSPITALWillimantic, CT 06226-2045
Mailing Address108 Williams WayTolland, CT 06084-2548 · (267) 934-6785
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2009
Enumeration DateMarch 28, 2009
Last NPPES UpdateOctober 22, 2012
✔ NPI 1063654614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CT · 50720✔ Licensed in PA · MT195142
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
112 MANSFIELD AVE, Willimantic, CT 06226

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Gilmore 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 ID8628232311
PECOS Enrollment IDI20120608000261
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Thomas Gilmore reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
112 MANSFIELD AVE
Willimantic, CT 06226
  • Reassigned Medicare billing, Connecticut enrollment
  • 104 clinicians in this Medicare group
Surgery
80 SEYMOUR ST, HARTFORD HOSPITAL PROFESSIONAL SERVICES
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • Also billed through NPI 1770696643 (Connecticut)
  • 1,333 clinicians in this Medicare group
Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,186 clinicians in this Medicare group
Hospitalist
100 GRAND ST
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 745 clinicians in this Medicare group
Emergency Medicine
435 LEWIS AVE
Meriden, CT 06451
  • Reassigned Medicare billing, Connecticut enrollment
  • 96 clinicians in this Medicare group
Emergency Medicine
64 ROBBINS ST
Waterbury, CT 06708
  • Reassigned Medicare billing, Connecticut enrollment
  • 83 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
286 services264 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
209 services185 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
88 services84 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
44 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06226 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Acute Care)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Internal Medicine (Pulmonary Disease)
112 MANSFIELD AVE, PULMONARY DISEASE DIVISION, HATCH WING
WILLIMANTIC, CT 06226
General Acute Care Hospital
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Social Worker (Clinical)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Emergency Medicine
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Internal Medicine (Pulmonary Disease)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Midwife
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Social Worker (Clinical)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226

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 Thomas Gilmore's NPI number?

The NPI number for Thomas Gilmore is 1063654614. It was assigned to this individual provider in the NPPES registry on March 28, 2009.

Where is Thomas Gilmore located?

Thomas Gilmore practices at 112 Mansfield Ave Windham Hospital, Willimantic, CT 06226. The listed phone number is (215) 955-9837.

What is Thomas Gilmore's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Thomas Gilmore enrolled in Medicare?

Yes. Thomas Gilmore 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.

Which organizations bill Medicare for Thomas Gilmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Gilmore reassigns Medicare benefits to 6 organizations: Northeast Emergency Medicine Specialists, LLC (Willimantic, CT), Hartford Hospital (Hartford, CT), Trinity Health Of New England Provider Network Organization Inc (Hartford, CT), The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT), Nems PLLC (Meriden, CT) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Gilmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Gilmore was last updated on October 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.