NATHAN THOMAS GILMORE MD
NPI 1275725897
Emergency Medicine - Emergency Medical Services in Dana Point, CA

Active since August 16, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
35410 DEL REY, DANA POINT, CA 92624(801) 330-9242 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1275725897
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameNATHAN THOMAS GILMORECredential: MD
Location Address35410 DEL REYDana Point, CA 92624-1814
Mailing Address1 Hoag DrNewport Beach, CA 92663-4162 · (801) 330-9242
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2007
Enumeration DateAugust 16, 2007
Last NPPES UpdateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
NPI 1275725897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License Licensed in CA · A126324
Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

35410 DEL REY, Dana Point, CA 92624

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

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.

PECOS PAC ID1658410386
PECOS Enrollment IDI20130823000014
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 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.

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.
306 services234 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
209 services147 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
12 services12 patients

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.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Emergency Medicine (Emergency Medical Services)
35410 DEL REY
DANA POINT, CA 92624
Nursing Facility/Intermediate Care Facility
35410 DEL REY
CAPISTRANO BEACH, CA 92624
Skilled Nursing Facility
35410 DEL REY
CAPISTRANO BEACH, CA 92624
Skilled Nursing Facility
35410 DEL REY
CAPISTRANO BEACH, CA 92624
Physical Therapist
35410 DEL REY
DANA POINT, CA 92624
Physical Therapist
35410 DEL REY
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.

When was this NPI record last updated?

The NPPES record for Nathan Gilmore was last updated on December 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.