AMANDA GILGORE RN
NPI 1245977792
Nurse Practitioner - Adult Health in West Reading, PA

Active since May 17, 2022PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
420 S 5TH AVE, WEST READING, PA 19611(484) 628-6255 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amanda Gilgore Rn NPPES

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

AMANDA GILGORE RN (NPI 1245977792) is an individual adult health provider in West Reading, Pennsylvania, licensed in Pennsylvania (SP025744) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245977792
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameAMANDA GILGORECredential: RN
Location Address420 S 5TH AVEWest Reading, PA 19611-2143
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 17, 2022
Last NPPES UpdateJune 3, 2022
NPPES CertifiedJune 3, 2022
✔ NPI 1245977792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP025744
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License RN557713 (PA)
420 S 5TH AVE, West Reading, PA 19611

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

Amanda Gilgore Rn 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 ID2860871183
PECOS Enrollment IDI20220616002041
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 Amanda Gilgore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trauma Surgery
420 S 5TH AVE
West Reading, PA 19611
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 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.

Areas of Expertise CMS Part B claims

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
40 services35 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

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.

Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Pathology (Forensic Pathology)
420 S 5TH AVE
WEST READING, PA 19611
Physician Assistant
420 S 5TH AVE
WEST READING, PA 19611
Surgery
420 S 5TH AVE
WEST READING, PA 19611
Nurse Practitioner (Family)
420 S 5TH AVE
READING, PA 19611
Emergency Medicine
420 S 5TH AVE
WEST READING, PA 19611

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 Amanda Gilgore's NPI number?

The NPI number for Amanda Gilgore is 1245977792. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Where is Amanda Gilgore located?

Amanda Gilgore practices at 420 S 5th Ave, West Reading, PA 19611. The listed phone number is (484) 628-6255.

What is Amanda Gilgore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Amanda Gilgore enrolled in Medicare?

Yes. Amanda Gilgore 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 Amanda Gilgore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Gilgore reassigns Medicare benefits to Tower Health Medical Group (West Reading, PA). 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 Amanda Gilgore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Amanda Gilgore affiliated with any hospitals?

According to CMS data, Amanda Gilgore is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Gilgore was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.