JESSICA A. GILMORE PAC
NPI 1245741636
Physician Assistant in Upper Sandusky, OH

Active since October 12, 2017PECOS EnrolledAccepts Medicare Assignment
87.65/100
CMS Quality Rating
885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351(419) 294-4991(419) 209-0278 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 13, 2021, Dec 15, 2020, Sep 19, 2018 and 2 more (5 updates tracked since 2017).

About Jessica A. Gilmore Pac NPPES

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

JESSICA A. GILMORE PAC (NPI 1245741636) is an individual physician assistant in Upper Sandusky, Ohio, licensed in Ohio (50.005319RX) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245741636
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA A. GILMORECredential: PAC
Location Address885 N SANDUSKY AVEUpper Sandusky, OH 43351-1098
Mailing Address1040 Delaware AveMarion, OH 43302-6416 · (419) 294-4991 · Fax (419) 209-0278
Fax(419) 209-0278
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 12, 2017
Last NPPES UpdateJanuary 13, 20215 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
NPI 1245741636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 50.005319RX
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

885 N SANDUSKY AVE, Upper Sandusky, OH 43351

Other Names 1

Former Name (1)Jessica Rene

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

Jessica A. Gilmore Pac 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 ID2860768116
PECOS Enrollment IDI20171101000832
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 6

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
380 services29 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
43 services29 patients
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.
26 services23 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.
25 services20 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
15 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Marion General Hospital

Acute Care Hospitals · Marion, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360011
Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43351 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

87.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.45
Promoting Interoperability96.03
Improvement Activities40

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.

Nurse Practitioner (Family)
885 N SANDUSKY AVE
UPPER SANDUSKY, OH 43351
Physician Assistant
885 N SANDUSKY AVE
UPPER SANDUSKY, OH 43351
Physical Therapist
885 N SANDUSKY AVE
UPPER SANDUSKY, OH 43351
Surgery (Surgery of the Hand)
885 N SANDUSKY AVE
UPPER SANDUSKY, OH 43351
Internal Medicine (Rheumatology)
885 N SANDUSKY AVE
UPPER SANDUSKY, OH 43351
Emergency Medicine
885 N SANDUSKY AVE
UPPER SANDUSKY, OH 43351
Internal Medicine (Hematology & Oncology)
885 N SANDUSKY AVE
UPPER SANDUSKY, OH 43351
Specialist/Technologist (Athletic Trainer)
885 N SANDUSKY AVE
UPPER SANDUSKY, OH 43351

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 Jessica Gilmore's NPI number?

The NPI number for Jessica Gilmore is 1245741636. It was assigned to this individual provider in the NPPES registry on October 12, 2017. The provider is also known as Jessica Rene.

Where is Jessica Gilmore located?

Jessica Gilmore practices at 885 N Sandusky Ave, Upper Sandusky, OH 43351. The listed phone number is (419) 294-4991.

What is Jessica Gilmore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jessica Gilmore enrolled in Medicare?

Yes. Jessica 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.

What insurance does Jessica Gilmore accept?

Health plans from CareSource and MedMutual list Jessica 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 Jessica Gilmore affiliated with any hospitals?

According to CMS data, Jessica Gilmore is affiliated with Marion General Hospital and Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Gilmore was last updated on January 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.