TODD L GILLIAM
NPI 1326657883
Nurse Practitioner - Family in Rutherfordton, NC

Active since July 30, 2020PECOS EnrolledAccepts Medicare Assignment
288 S RIDGECREST AVE, RUTHERFORDTON, NC 28139(828) 286-5000 Get Directions Write a Review

NPPES record last updated: December 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2020, Jul 30, 2020 (2 updates tracked since 2020).

About Todd L Gilliam NPPES

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

TODD L GILLIAM (NPI 1326657883) is an individual family provider in Rutherfordton, North Carolina, licensed in North Carolina (5013402) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1326657883
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTODD L GILLIAM
Location Address288 S RIDGECREST AVERutherfordton, NC 28139-2838
Mailing Address1811 Old Caroleen RdForest City, NC 28043-3766 · (864) 621-3232
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 30, 2020
Last NPPES UpdateDecember 5, 20202 updates tracked since enumeration
NPPES CertifiedAugust 10, 2020
NPI 1326657883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5013402
288 S RIDGECREST AVE, Rutherfordton, NC 28139

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

Todd L Gilliam 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 ID8224458195
PECOS Enrollment IDI20201014001584
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 6

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
157 services143 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
151 services139 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
50 services47 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
14 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services13 patients
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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28139 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Emergency Medicine
288 S RIDGECREST AVE
RUTHERFORDTON, NC 28139
Psychiatry & Neurology (Psychiatry)
288 S RIDGECREST AVE
RUTHERFORDTON, NC 28139
General Acute Care Hospital
288 S RIDGECREST AVE
RUTHERFORDTON, NC 28139
Registered Nurse (Emergency)
288 S RIDGECREST AVE
RUTHERFORDTON, NC 28139
Pathology (Anatomic Pathology & Clinical Pathology)
288 S RIDGECREST AVE
RUTHERFORDTON, NC 28139
Student in an Organized Health Care Education/Training Program
288 S RIDGECREST AVE
RUTHERFORDTON, NC 28139
Pathology (Anatomic Pathology & Clinical Pathology)
288 S RIDGECREST AVE, LABORATORY, RUTHERFORD HOSPITAL
RUTHERFORDTON, NC 28139
Nurse Practitioner
288 S RIDGECREST AVE
RUTHERFORDTON, NC 28139

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 Todd Gilliam's NPI number?

The NPI number for Todd Gilliam is 1326657883. It was assigned to this individual provider in the NPPES registry on July 30, 2020.

Where is Todd Gilliam located?

Todd Gilliam practices at 288 S Ridgecrest Ave, Rutherfordton, NC 28139. The listed phone number is (828) 286-5000.

What is Todd Gilliam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Todd Gilliam enrolled in Medicare?

Yes. Todd Gilliam 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 Todd Gilliam was last updated on December 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.