DR. GARY LEE FILLMORE M.D.
NPI 1265413769
Ophthalmology in Spokane, WA

Q: What is Gary Fillmore's NPI number?

The NPI number for Gary Fillmore is 1265413769. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Q: What is Gary Fillmore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gary Fillmore was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment

84.43/100

CMS Quality Rating

9911 N NEVADA ST STE B, SPOKANE, WA 99218(509) 484-5710(509) 487-1000 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Aug 30, 2018 (2 updates tracked since 2018).

On this page

About Dr. Gary Lee Fillmore M.d. NPPES

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

DR. GARY LEE FILLMORE M.D. (NPI 1265413769) is an individual ophthalmology provider in Spokane, Washington, licensed in Washington (MD00049255) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Providence Holy Family Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1265413769

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. GARY LEE FILLMORECredential: M.D.

Location Address9911 N NEVADA ST STE BSpokane, WA 99218

Mailing Address9911 N Nevada St Ste BSpokane, WA 99218-1298 · (509) 484-5710 · Fax (509) 487-1000

Phone(509) 484-5710

Fax(509) 487-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateNovember 10, 2005

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

✔ NPI 1265413769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in WA · MD00049255

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.

9911 N NEVADA ST STE B, Spokane, WA 99218

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Other Identifiers 7

OtherP00642793Railroad Medicare

OtherMD00049255WA · Physician And Surgeon License

Other0239190WA · Dept Of Labor And Industries

Medicaid808422000ID

Medicaid8509440WA

Other8949273WA · Crime Victims' Compensation

OtherG8874801WA · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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 Lee Fillmore M.d. 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 ID941389670

PECOS Enrollment IDI20080507000237

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 14

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.

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.

308 services306 patients

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.

249 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.

210 services115 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.

188 services166 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.

149 services145 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

118 services114 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

106 services103 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

98 services96 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.

81 services62 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

58 services58 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.

46 services46 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

45 services43 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.

29 services29 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

27 services17 patients

Hospital Affiliations CMS Care Compare

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

Providence Holy Family Hospital

Acute Care Hospitals · Spokane, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500077

Location5633 North LidgerwoodSpokane, WA 99208 · Spokane County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99218 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

84.43/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

48.11

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Other Providers at the Same Location NPPES 4

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

CHRISTIAN SPENCER DRAPER MD

Ophthalmology (Glaucoma Specialist)

9911 N NEVADA ST STE B
SPOKANE, WA 99218

Spokane County (509) 484-5710

DR. MICHAEL EDWARD DERZAY OD

Optometrist

9911 N NEVADA ST STE B
SPOKANE, WA 99218

Spokane County (509) 484-5710

DR. SARA ANNE EDMONS OD

Optometrist

9911 N NEVADA ST STE B
SPOKANE, WA 99218

Spokane County (509) 484-5710

EYE CONSULTANTS, P.S.

Clinic/Center (Ophthalmologic Surgery)

9911 N NEVADA ST STE B
SPOKANE, WA 99218

Spokane County (509) 484-5710

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 Fillmore's NPI number?

The NPI number for Gary Fillmore is 1265413769. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Gary Fillmore located?

Gary Fillmore practices at 9911 N Nevada St Ste B, Spokane, WA 99218. The listed phone number is (509) 484-5710.

What is Gary Fillmore's specialty?

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

Is Gary Fillmore enrolled in Medicare?

Yes. Gary Fillmore 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 Fillmore accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Gary Fillmore 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 Fillmore affiliated with any hospitals?

According to CMS data, Gary Fillmore is affiliated with Providence Holy Family Hospital.

When was this NPI record last updated?

The NPPES record for Gary Fillmore was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.