TEDRA GILMORE MD
NPI 1205928223
Obstetrics & Gynecology in Laurinburg, NC

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
105 MCALPINE LN, LAURINBURG, NC 28352(910) 504-8530(910) 291-7180 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2026, Jul 8, 2026, Apr 13, 2026 and 1 more (4 updates tracked since 2021).

About Tedra Gilmore Md NPPES

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

TEDRA GILMORE MD (NPI 1205928223) is an individual obstetrics & gynecology provider in Laurinburg, North Carolina, licensed in North Carolina (2022-02131) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Scotland Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205928223
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameTEDRA GILMORECredential: MD
Location Address105 MCALPINE LNLaurinburg, NC 28352-4637
Mailing Address344 Wheatsheaf WayCollegeville, PA 19426-4025 · (386) 451-9229
Fax(910) 291-7180
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2002
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 15, 20264 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1205928223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NC · 2022-02131✔ Licensed in FL · ME 98980✔ Licensed in PA · MD426029
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
105 MCALPINE LN, Laurinburg, NC 28352

Secondary Practice Locations 3

Location 150 E Hospital St Ste 2Manning, SC 29102-3149 · Phone (803) 433-0797 · Fax (803) 433-0797
Location 21203 Langhorne Newtown Rd Ste 336Langhorne, PA 19047-1209 · Phone (215) 322-5042 · Fax (215) 322-5043
Location 31061 Medical Center Dr Ste 102Orange City, FL 32763-8225 · Phone (386) 456-3852

Other Identifiers 1

Medicaid278400900FL

Accepted 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

Tedra Gilmore 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 ID8729164439
PECOS Enrollment IDI20230224000138
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

8

Medicare enrollment records show Tedra Gilmore reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
105 MCALPINE LN
Laurinburg, NC 28352
  • Reassigned Medicare billing, North Carolina enrollment
  • 476 clinicians in this Medicare group
Rural Health
755 E SMITH ST
Timmonsville, SC 29161
  • Reassigned Medicare billing, South Carolina enrollment
  • 215 clinicians in this Medicare group
Hospitalist
800 PRUDENTIAL DR
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 683 clinicians in this Medicare group
Health Maintenance Organization
7670 QUARTERFIELD RD
Glen Burnie, MD 21061
  • Reassigned Medicare billing, Maryland enrollment
  • 1,253 clinicians in this Medicare group
General Practice
7505 OSLER DR SUITE 402
Towson, MD 21204
  • Reassigned Medicare billing, Maryland enrollment
  • 501 clinicians in this Medicare group
Family Medicine
1001 BALTIMORE PIKE STE 109
Springfield, PA 19064
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 646 clinicians in this Medicare group
Obstetrics & Gynecology
1046 MAR WALT DR, SUITE 200
Fort Walton Beach, FL 32547
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Diana Health Fl, PA
  • 98 clinicians in this Medicare group
Obstetrics & Gynecology
3225 AVIATION AVE, SUITE #700
Miami, FL 33133
  • Reassigned Medicare billing, Florida enrollment
  • 716 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Scotland Memorial Hospital

Acute Care Hospitals · Laurinburg, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340008
Location500 Lauchwood DrLaurinburg, NC 28352 · Scotland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28352 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

Nurse Practitioner (Women's Health)
105 MCALPINE LN
LAURINBURG, NC 28352
Obstetrics & Gynecology
105 MCALPINE LN
LAURINBURG, NC 28352
Obstetrics & Gynecology
105 MCALPINE LN
LAURINBURG, NC 28352
Midwife
105 MCALPINE LN
LAURINBURG, NC 28352
Obstetrics & Gynecology
105 MCALPINE LN
LAURINBURG, NC 28352

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 Tedra Gilmore's NPI number?

The NPI number for Tedra Gilmore is 1205928223. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Tedra Gilmore located?

Tedra Gilmore practices at 105 Mcalpine Ln, Laurinburg, NC 28352. The listed phone number is (910) 504-8530.

What is Tedra Gilmore's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tedra Gilmore enrolled in Medicare?

Yes. Tedra Gilmore 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 Tedra Gilmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tedra Gilmore reassigns Medicare benefits to 8 organizations: Scotland Memorial Hospital, Inc (Laurinburg, NC), Mcleod Health Clarendon (Timmonsville, SC), Ob Hospitalist Group LLC (Jacksonville, FL), Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Glen Burnie, MD), University Of Maryland St. Joseph Medical Group, LLC (Towson, MD) and 3 more organizations, listed in the Medicare section above. 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 Tedra Gilmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tedra Gilmore accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Florida Health Care Plans and 4 other insurers list Tedra Gilmore 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 Tedra Gilmore affiliated with any hospitals?

According to CMS data, Tedra Gilmore is affiliated with Scotland Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tedra Gilmore was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.