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MARGO L K GILL MD
NPI 1144366816
Family Medicine in Charlottesville, VA

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
77.45/100
CMS Quality Rating
3263 PROFFIT RD, SUITE 201, CHARLOTTESVILLE, VA 22911(434) 654-4600(434) 975-1384 Get Directions Write a Review

NPPES record last updated: July 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2018, Mar 13, 2018 (2 updates tracked since 2018).

About Margo L K Gill Md NPPES

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

MARGO L K GILL MD (NPI 1144366816) is an individual family medicine provider in Charlottesville, Virginia, licensed in Virginia (0101252569) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of University Of Maryland School Of Medicine (2005).

NPPES Registry Identity

NPI1144366816
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARGO L K GILLCredential: MD
Location Address3263 PROFFIT RD, SUITE 201Charlottesville, VA 22911
Mailing AddressPo Box 79777Baltimore, MD 21279-0777 · (434) 654-7794 · Fax (434) 975-1384
Phone(434) 654-4600
Fax(434) 975-1384
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2005
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 2, 20182 updates tracked since enumeration
✔ NPI 1144366816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101252569
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.
3263 PROFFIT RD, Charlottesville, VA 22911
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Other Names 1

Former Name (1)Margo L Kaplan Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.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

Margo L K Gill 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 ID8628132917
PECOS Enrollment IDI20211021001931
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 5

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.
113 services78 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
91 services91 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
61 services61 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.
54 services47 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
21 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Atlantic General Hospital

Acute Care Hospitals · Berlin, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210061
Location9733 Healthway DriveBerlin, MD 21811 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

77.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.52
Promoting Interoperability87
Improvement Activities40
Cost58.13

Other Providers at the Same Location NPPES 9

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

KERRY HENDRIX NP
Nurse Practitioner (Family)
3263 PROFFIT RD, SUITE 101
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 923-4600
MICHAEL QUINN POTTER MD
Orthopaedic Surgery (Hand Surgery)
3263 PROFFIT RD, SUITE 202
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-5575
GEOFFREY SCOTT KEENAN M.D.
Physical Medicine & Rehabilitation
3263 PROFFIT RD, SUITE 202
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-5575
JOHN NAPIER HALL M.D.
Orthopaedic Surgery
3263 PROFFIT RD, SUITE 202
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-5575
AMANDA WALKER PA-C, ATC
Physician Assistant
3263 PROFFIT RD, SUITE 202
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-5575
BRYCE SAMUEL L KELLAMS MD
Family Medicine
3263 PROFFIT RD, SUITE 201
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-4600
WILLIAM H MURRAY MD
Family Medicine
3263 PROFFIT RD, SUTIE 201
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-4600
JOHN J MCGOVERN MD
Family Medicine
3263 PROFFIT RD, SUITE 201
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 654-4600

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 Margo Gill's NPI number?

The NPI number for Margo Gill is 1144366816. It was assigned to this individual provider in the NPPES registry on January 30, 2007. The provider is also known as Margo L Kaplan MD.

Where is Margo Gill located?

Margo Gill practices at 3263 Proffit Rd Suite 201, Charlottesville, VA 22911. The listed phone number is (434) 654-4600.

What is Margo Gill's specialty?

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

Is Margo Gill enrolled in Medicare?

Yes. Margo Gill 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 Margo Gill accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Margo Gill 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 Margo Gill affiliated with any hospitals?

According to CMS data, Margo Gill is affiliated with Tidalhealth Peninsula Regional, Inc and Atlantic General Hospital.

When was this NPI record last updated?

The NPPES record for Margo Gill was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.