NATHAN THOMAS GILMORE MD
NPI 1275725897
Emergency Medicine - Emergency Medical Services in Dana Point, CA
About Nathan Thomas Gilmore Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHAN THOMAS GILMORE MD (NPI 1275725897) is an individual emergency medical services provider in Dana Point, California, licensed in California (A126324) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
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
Nathan Thomas Gilmore Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nathan Gilmore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Laguna Beach, CA 92651
- Reassigned Medicare billing, California enrollment
- 110 clinicians in this Medicare group
Newport Beach, CA 92663
- Reassigned Medicare billing, California enrollment
- 21 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92624 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DANA POINT, CA 92624
CAPISTRANO BEACH, CA 92624
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 Nathan Gilmore's NPI number?
The NPI number for Nathan Gilmore is 1275725897. It was assigned to this individual provider in the NPPES registry on August 16, 2007.
Where is Nathan Gilmore located?
Nathan Gilmore practices at 35410 Del Rey, Dana Point, CA 92624. The listed phone number is (801) 330-9242.
What is Nathan Gilmore's specialty?
The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.
Is Nathan Gilmore enrolled in Medicare?
Yes. Nathan 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 organizations bill Medicare for Nathan Gilmore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Gilmore reassigns Medicare benefits to 2 organizations: Mission Viejo Emergency Medical Associates, Inc. (Laguna Beach, CA) and Newport Critical Care Physicians Medical Group Inc (Newport Beach, CA). Each 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 Nathan Gilmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nathan Gilmore was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Nathan Thomas Gilmore, MD · NPI 1275725897
Emergency Medical Services physician in Dana Point, California. Individual provider, active in the CMS NPPES registry since August 16, 2007.
## Identity
- **NPI:** 1275725897 (Entity type: Individual)
- **Enumerated:** August 16, 2007
- **Primary specialty:** Emergency Medicine - Emergency Medical Services · taxonomy 207PE0004X
- **State license:** A126324 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 35410 DEL REY, Dana Point, CA 92624-1814
- **Phone:** (801) 330-9242
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mission Viejo Emergency Medical Associates, Inc. (NPI 1134355597, Laguna Beach, CA); Newport Critical Care Physicians Medical Group Inc (NPI 1740220482, Newport Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** December 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1275725897) · Data from the CMS NPPES public registry.