MEGAN DIANNE GILLEM D.O.
NPI 1093005704
Family Medicine in Flower Mound, TX

Active since April 14, 2011PECOS EnrolledAccepts Medicare Assignment
4921 LONG PRAIRIE RD, SUITE 100, FLOWER MOUND, TX 75028(972) 691-8700(972) 691-8782 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Megan Dianne Gillem D.o. NPPES

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

MEGAN DIANNE GILLEM D.O. (NPI 1093005704) is an individual family medicine provider in Flower Mound, Texas, licensed in Texas (P8476) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Medical City Denton, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1093005704
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMEGAN DIANNE GILLEMCredential: D.O.
Location Address4921 LONG PRAIRIE RD, SUITE 100Flower Mound, TX 75028-2716
Mailing Address4921 Long Prairie Rd, Suite 100Flower Mound, TX 75028-2716 · (972) 691-8700 · Fax (972) 691-8782
Fax(972) 691-8782
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 14, 2011
Last NPPES UpdateOctober 23, 2019
NPI 1093005704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · P8476
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.
4921 LONG PRAIRIE RD, Flower Mound, TX 75028

Other Identifiers 1

Medicaid340101001TX

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

Megan Dianne Gillem D.o. 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 ID1658593462
PECOS Enrollment IDI20141111002355
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 25

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.

Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
180 services121 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
177 services121 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
172 services119 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
155 services115 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
134 services109 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.
127 services88 patients

Hospital Affiliations CMS Care Compare 3

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

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Medical City Lewisville

Acute Care Hospitals · Lewisville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450669
Location500 West Main StreetLewisville, TX 75057 · Denton County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Flower Mound

Acute Care Hospitals · Flower Mound, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670068
Location4400 Long Prairie RoadFlower Mound, TX 75028 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75028 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 3

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

Pharmacist
4921 LONG PRAIRIE RD, SUITE 105
FLOWER MOUND, TX 75028
Family Medicine
4921 LONG PRAIRIE RD
FLOWER MOUND, TX 75028
Internal Medicine
4921 LONG PRAIRIE RD, SUITE 100
FLOWER MOUND, TX 75028

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 Megan Gillem's NPI number?

The NPI number for Megan Gillem is 1093005704. It was assigned to this individual provider in the NPPES registry on April 14, 2011.

Where is Megan Gillem located?

Megan Gillem practices at 4921 Long Prairie Rd Suite 100, Flower Mound, TX 75028. The listed phone number is (972) 691-8700.

What is Megan Gillem's specialty?

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

Is Megan Gillem enrolled in Medicare?

Yes. Megan Gillem 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 Megan Gillem accept?

Health plans from Blue Cross and Blue Shield of Texas list Megan Gillem 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 Megan Gillem affiliated with any hospitals?

According to CMS data, Megan Gillem is affiliated with Medical City Denton, Medical City Lewisville and Texas Health Presbyterian Hospital Flower Mound.

When was this NPI record last updated?

The NPPES record for Megan Gillem was last updated on October 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.