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PAUL M GILREATH MD
NPI 1124229117
Psychiatry & Neurology - Neurology in Tallahassee, FL

Active since May 29, 2007PECOS EnrolledAccepts Medicare Assignment
80.87/100
CMS Quality Rating
1401 OVEN PARK DR STE 201, TALLAHASSEE, FL 32308(850) 765-8623 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 20, 2024, Jan 9, 2017 (2 updates tracked since 2017).

About Paul M Gilreath Md NPPES

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

PAUL M GILREATH MD (NPI 1124229117) is an individual neurology provider in Tallahassee, Florida, licensed in Alabama (30899) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Tallahassee Memorial Healthcare, and is a graduate of Medical College Of Georgia School Of Medicine (2007).

NPPES Registry Identity

NPI1124229117
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NamePAUL M GILREATHCredential: MD
Location Address1401 OVEN PARK DR STE 201Tallahassee, FL 32308-7958
Mailing Address1401 Oven Park Dr Ste 201Tallahassee, FL 32308-7958 · (850) 765-8623
Phone(850) 765-8623
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2007
Enumeration DateMay 29, 2007
Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1124229117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in AL · 30899
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1401 OVEN PARK DR STE 201, Tallahassee, FL 32308
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Capital Health Plan and more.Insurance ›

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

Paul M Gilreath Md 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 ID1355529249
PECOS Enrollment IDI20240820001372
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

5

Medicare enrollment records show Paul Gilreath reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tallahassee Neurology Specialists, P.L.
Same address
Multi-Specialty
1401 OVEN PARK DR, SUITE 201
Tallahassee, FL 32308
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Tallahassee Neurology Specialists Pl
  • 14 clinicians in this Medicare group
NPI 1326357005 (850) 765-8623
The Health Care Authority For Baptist Health, An Affiliate Of Uabhs
171 mi
Physical Therapy
7449 EASTCHASE PKWY STE 200
Montgomery, AL 36117
  • Reassigned Medicare billing, Alabama enrollment
  • 439 clinicians in this Medicare group
NPI 1720755770 (334) 747-4030
Capstone Health Services Foundation PC
253 mi
Family Medicine
105 US HIGHWAY 80 E STE 215
Demopolis, AL 36732
  • Reassigned Medicare billing, Alabama enrollment
  • 307 clinicians in this Medicare group
NPI 1952805400 (334) 654-8081
Whatley Health Services Inc
268 mi
Federally Qualified Health Center (FQHC)
3532 GREENSBORO AVE
Tuscaloosa, AL 35401
  • Reassigned Medicare billing, Alabama enrollment
  • 244 clinicians in this Medicare group
NPI 1063606358 (205) 349-3250
Fort Payne Clinic Corp.
286 mi
Internal Medicine
200 MEDICAL CENTER DRIVE, ATTN: DIRECTOR OF PHYSICIAN PRACTICES
Fort Payne, AL 35960
  • Reassigned Medicare billing, Alabama enrollment
  • 36 clinicians in this Medicare group
NPI 1396764395 (256) 845-3150

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.

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.
39 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services32 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.
27 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services15 patients

Hospital Affiliations CMS Care Compare

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

Tallahassee Memorial Healthcare

Acute Care Hospitals · Tallahassee, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100135
Location1300 Miccosukee RdTallahassee, FL 32308 · Leon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32308 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

80.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.7
Promoting Interoperability100
Improvement Activities40
Cost59.55

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
96%294 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
9%323 patients1/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,885 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%2,493 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
29%574 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%581 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
17%829 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
27%790 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 840 patients
Patients tobacco: 10% · 111 patients
78%510 patients4/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
83%521 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%829 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%829 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
12%829 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JULIA TJANDERA
Nurse Practitioner (Family)
1401 OVEN PARK DR STE 201
TALLAHASSEE, FL 32308
Leon County (850) 765-8623
DAVID A DELANG NP-C
Nurse Practitioner (Family)
1401 OVEN PARK DR STE 201
TALLAHASSEE, FL 32308
Leon County (850) 765-8623
JODI L'HEUREUX FNP
Nurse Practitioner
1401 OVEN PARK DR STE 201
TALLAHASSEE, FL 32308
Leon County (850) 765-8623

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 Paul Gilreath's NPI number?

The NPI number for Paul Gilreath is 1124229117. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Paul Gilreath located?

Paul Gilreath practices at 1401 Oven Park Dr Ste 201, Tallahassee, FL 32308. The listed phone number is (850) 765-8623.

What is Paul Gilreath's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Paul Gilreath enrolled in Medicare?

Yes. Paul Gilreath 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 Paul Gilreath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Gilreath reassigns Medicare benefits to 5 organizations: Tallahassee Neurology Specialists, P.L. (Tallahassee, FL), The Health Care Authority For Baptist Health, An Affiliate Of Uabhs (Montgomery, AL), Capstone Health Services Foundation PC (Demopolis, AL), Whatley Health Services Inc (Tuscaloosa, AL) and Fort Payne Clinic Corp. (Fort Payne, AL). 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 Paul Gilreath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Gilreath accept?

Health plans from Ambetter Health, Ambetter of Alabama, Capital Health Plan, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Paul Gilreath 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 Paul Gilreath affiliated with any hospitals?

According to CMS data, Paul Gilreath is affiliated with Tallahassee Memorial Healthcare.

When was this NPI record last updated?

The NPPES record for Paul Gilreath was last updated on August 20, 2024. 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.