DR. GARY T GILLHAM D.O.
NPI 1245386333
Ophthalmology in Springfield, MO

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment
1229 E SEMINOLE ST, SUITE 420, SPRINGFIELD, MO 65804(417) 820-9393(417) 820-9725 Get Directions Write a Review

NPPES record last updated: January 29, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gary T Gillham D.o. NPPES

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

DR. GARY T GILLHAM D.O. (NPI 1245386333) is an individual ophthalmology provider in Springfield, Missouri, licensed in Missouri (2008023553) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2003).

NPPES Registry Identity

NPI1245386333
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. GARY T GILLHAMCredential: D.O.
Location Address1229 E SEMINOLE ST, SUITE 420Springfield, MO 65804-2227
Mailing AddressPo Box 505164Saint Louis, MO 63150-5164 · (417) 820-2000
Fax(417) 820-9725
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2003
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJanuary 29, 2015
NPI 1245386333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MO · 2008023553 Licensed in IL · 36122133
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1229 E SEMINOLE ST, Springfield, MO 65804

Other Identifiers 3

Medicare PINPENDINGMO
Medicare PIN1245386333
MedicaidPENDINGMO

Accepted 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. Gary T Gillham D.o. 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 ID7214004043
PECOS Enrollment IDI20080922000031
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 11

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.

Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
375 services157 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
148 services148 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
143 services80 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
82 services79 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
68 services38 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
65 services65 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
5 suppliers14 claims14 services$39.77 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 20

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

Audiologist
1229 E SEMINOLE ST, SUITE 530
SPRINGFIELD, MO 65804
Specialist/Technologist (Athletic Trainer)
1229 E SEMINOLE ST
SPRINGFIELD, MO 65804
Orthopaedic Surgery (Hand Surgery)
1229 E SEMINOLE ST
SPRINGFIELD, MO 65804
Orthopaedic Surgery (Hand Surgery)
1229 E SEMINOLE ST
SPRINGFIELD, MO 65804
Physician Assistant (Surgical)
1229 E SEMINOLE ST
SPRINGFIELD, MO 65804
Nurse Practitioner
1229 E SEMINOLE ST
SPRINGFIELD, MO 65804
Plastic Surgery
1229 E SEMINOLE ST
SPRINGFIELD, MO 65804
Physician Assistant
1229 E SEMINOLE ST
SPRINGFIELD, MO 65804

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 Gary Gillham's NPI number?

The NPI number for Gary Gillham is 1245386333. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Gary Gillham located?

Gary Gillham practices at 1229 E Seminole St Suite 420, Springfield, MO 65804. The listed phone number is (417) 820-9393.

What is Gary Gillham's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Gary Gillham enrolled in Medicare?

Yes. Gary Gillham 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 Gary Gillham accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Gary Gillham 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 Gary Gillham affiliated with any hospitals?

According to CMS data, Gary Gillham is affiliated with Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Gary Gillham was last updated on January 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.