DONNA LYNN GILLIAM PA-C
NPI 1083726459
Physician Assistant in New Braunfels, TX

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1761 HIGHWAY 46 W STE 104, NEW BRAUNFELS, TX 78132(830) 608-1575(830) 608-0868 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Feb 10, 2022 (2 updates tracked since 2022).

About Donna Lynn Gilliam Pa-c NPPES

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

DONNA LYNN GILLIAM PA-C (NPI 1083726459) is an individual physician assistant in New Braunfels, Texas, licensed in Texas (PA03687) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Guadalupe Regional Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1083726459
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDONNA LYNN GILLIAMCredential: PA-C
Location Address1761 HIGHWAY 46 W STE 104New Braunfels, TX 78132-4750
Mailing Address1215 E Court StSeguin, TX 78155-5129 · (830) 303-9400 · Fax (830) 303-9420
Fax(830) 608-0868
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
NPI 1083726459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA03687
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1761 HIGHWAY 46 W STE 104, New Braunfels, TX 78132

Other Identifiers 3

OtherH0143584TX · Dps
OtherPA03687TX · License
Medicaid218278401TX

Accepted 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

Donna Lynn Gilliam Pa-c 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 ID2769544147
PECOS Enrollment IDI20081218000404
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

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.
132 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Guadalupe Regional Medical Center

Acute Care Hospitals · Seguin, TX
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number450104
Location1215 E Court StSeguin, TX 78155 · Guadalupe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78132 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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
3 suppliers14 claims19 services$5.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Donna Gilliam's NPI number?

The NPI number for Donna Gilliam is 1083726459. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Donna Gilliam located?

Donna Gilliam practices at 1761 Highway 46 W Ste 104, New Braunfels, TX 78132. The listed phone number is (830) 608-1575.

What is Donna Gilliam's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Donna Gilliam enrolled in Medicare?

Yes. Donna Gilliam 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 Donna Gilliam accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Donna Gilliam 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.

Is Donna Gilliam affiliated with any hospitals?

According to CMS data, Donna Gilliam is affiliated with Guadalupe Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Donna Gilliam was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.