WILLIAM GILMORE
NPI 1245866698
Nurse Practitioner - Psychiatric/Mental Health in Dublin, OH

Active since March 18, 2020PECOS EnrolledAccepts Medicare Assignment
525 METRO PL N STE 300, DUBLIN, OH 43017(855) 289-1722 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 30, 2026, Nov 17, 2025, Mar 18, 2020 (3 updates tracked since 2020).

About William Gilmore NPPES

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

WILLIAM GILMORE (NPI 1245866698) is an individual psychiatric/mental health provider in Dublin, Ohio, licensed in Ohio (APRN.CNP.0040422) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1245866698
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameWILLIAM GILMORE
Location Address525 METRO PL N STE 300Dublin, OH 43017-5320
Mailing Address525 Metro Pl N Ste 300Dublin, OH 43017-5320 · (855) 289-1722
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 18, 2020
Last NPPES UpdateJanuary 30, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1245866698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0040422
525 METRO PL N STE 300, Dublin, OH 43017

Other Identifiers 1

Medicaid2910854OH

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

William Gilmore 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 ID4385120468
PECOS Enrollment IDI20260108001434
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 Reassignment

Medicare enrollment records show William Gilmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Case Manager/Care Coordinator
525 METRO PL N STE 300
Dublin, OH 43017
  • Reassigned Medicare billing, Ohio enrollment
  • 200 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43017 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
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Registered Nurse
525 METRO PL N STE 300
DUBLIN, OH 43017
Case Manager/Care Coordinator
525 METRO PL N STE 300
DUBLIN, OH 43017
Registered Nurse
525 METRO PL N STE 300
DUBLIN, OH 43017
Case Manager/Care Coordinator
525 METRO PL N STE 300
DUBLIN, OH 43017
Case Manager/Care Coordinator
525 METRO PL N STE 300
DUBLIN, OH 43017
Case Manager/Care Coordinator
525 METRO PL N STE 300
DUBLIN, OH 43017
Case Manager/Care Coordinator
525 METRO PL N STE 300
DUBLIN, OH 43017
Case Manager/Care Coordinator
525 METRO PL N STE 300
DUBLIN, OH 43017

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 William Gilmore's NPI number?

The NPI number for William Gilmore is 1245866698. It was assigned to this individual provider in the NPPES registry on March 18, 2020.

Where is William Gilmore located?

William Gilmore practices at 525 Metro Pl N Ste 300, Dublin, OH 43017. The listed phone number is (855) 289-1722.

What is William Gilmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is William Gilmore enrolled in Medicare?

Yes. William 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 organization bills Medicare for William Gilmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Gilmore reassigns Medicare benefits to Viaquest Psychiatric & Behavioral Solutions LLC (Dublin, OH). The 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 William Gilmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Gilmore accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list William 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.

When was this NPI record last updated?

The NPPES record for William Gilmore was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.