DR. SAMUEL NIXON GILLESPIE MD
NPI 1184612095
Family Medicine in Moulton, AL

Q: What is Samuel Gillespie's NPI number?

The NPI number for Samuel Gillespie is 1184612095. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Q: What is Samuel Gillespie's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Gillespie was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 13, 2005PECOS EnrolledAccepts Medicare Assignment

94 MEDICAL CIR, MOULTON, AL 35650(256) 974-9216(256) 974-8211 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Feb 25, 2019 (2 updates tracked since 2019).

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About Dr. Samuel Nixon Gillespie Md NPPES

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

DR. SAMUEL NIXON GILLESPIE MD (NPI 1184612095) is an individual family medicine provider in Moulton, Alabama, licensed in Alabama (12662) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1985).

NPPES Registry Identity

NPI1184612095

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SAMUEL NIXON GILLESPIECredential: MD

Location Address94 MEDICAL CIRMoulton, AL 35650-1256

Mailing Address94 Medical CirMoulton, AL 35650-1256 · (256) 974-9216 · Fax (256) 974-8211

Phone(256) 974-9216

Fax(256) 974-8211

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1985

Enumeration DateOctober 13, 2005

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

✔ NPI 1184612095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AL · 12662

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.

Also ListedCommunity Health WorkerTaxonomy 172V00000X · License 12662 (AL)

Also ListedDermatologyTaxonomy 207N00000X · License 12662 (AL)

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 12662 (AL)

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 12662 (AL)

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 12662 (AL)

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 12662 (AL)

Also ListedInternal Medicine · Hypertension SpecialistTaxonomy 207RH0005X · License 12662 (AL)

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 12662 (AL)

94 MEDICAL CIR, Moulton, AL 35650

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Other Identifiers 4

Other12662AL · Medical License

Other00012662AL · Cds

Other01D0302603AL · Clia

Medicaid529402270AL

Accepted Insurance

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

Dr. Samuel Nixon Gillespie 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 ID3375617442

PECOS Enrollment IDI20080807000262

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35650 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

7 suppliers65 claims163 services$5.97 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers19 claims23 services$1.08 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$38.47 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers16 claims18 services$17.65 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers15 claims15 services$6.29 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers72 claims74 services$83.34 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

MRS. KARI KIRBY CRNP

Nurse Practitioner (Family)