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CHARLES H GILLIAM DDS
NPI 1205972924
Dentist - Periodontics in Lubbock, TX

Active since January 29, 2007PECOS Enrolled
6500 QUAKER AVE STE E, LUBBOCK, TX 79413(806) 797-1275 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles H Gilliam Dds NPPES

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

CHARLES H GILLIAM DDS (NPI 1205972924) is an individual periodontics provider in Lubbock, Texas, licensed in Texas (12571) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205972924
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameCHARLES H GILLIAMCredential: DDS
Location Address6500 QUAKER AVE STE ELubbock, TX 79413-5138
Mailing Address6500 Quaker Ave Ste ELubbock, TX 79413-5138 · (806) 797-1275
Phone(806) 797-1275
Sole ProprietorYes
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205972924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in TX · 12571
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
6500 QUAKER AVE STE E, Lubbock, TX 79413
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles H Gilliam Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 79413 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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

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

MRS. ASHLEE DANIELLE GARZA LMFT, LCDC
Marriage & Family Therapist
6500 QUAKER AVE STE E
LUBBOCK, TX 79413
Lubbock County (806) 535-3064

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 Charles Gilliam's NPI number?

The NPI number for Charles Gilliam is 1205972924. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Charles Gilliam located?

Charles Gilliam practices at 6500 Quaker Ave Ste E, Lubbock, TX 79413. The listed phone number is (806) 797-1275.

What is Charles Gilliam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Charles Gilliam enrolled in Medicare?

Yes. Charles Gilliam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Gilliam was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.