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CHARLES ANDREW GILLILAND MD
NPI 1366646192
Family Medicine - Sports Medicine in Ashland, KY

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
613 23RD ST, STE G30, ASHLAND, KY 41101(606) 327-0036(606) 329-1159 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2021, Feb 13, 2019, Nov 7, 2016 (3 updates tracked since 2016).

About Charles Andrew Gilliland Md NPPES

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

CHARLES ANDREW GILLILAND MD (NPI 1366646192) is an individual sports medicine provider in Ashland, Kentucky, licensed in Kentucky (44777) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2007).

NPPES Registry Identity

NPI1366646192
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameCHARLES ANDREW GILLILANDCredential: MD
Location Address613 23RD ST, STE G30Ashland, KY 41101-2878
Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-6200 · Fax (606) 408-6612
Phone(606) 327-0036
Fax(606) 329-1159
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2007
Enumeration DateJune 14, 2007
Last NPPES UpdateNovember 17, 20213 updates tracked since enumeration
NPPES CertifiedNovember 17, 2021
✔ NPI 1366646192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Licenses✔ Licensed in KY · 44777✔ Licensed in WV · 24275
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 44777 (KY)
613 23RD ST, Ashland, KY 41101
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Other Identifiers 2

Medicaid0053178OH
Medicaid7100176900KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Charles Andrew Gilliland 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 ID5799955324
PECOS Enrollment IDI20110908002112, I20161115001717
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 9

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.

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.
116 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.
103 services82 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.
71 services71 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.
54 services49 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
50 services46 patients
Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes 97760
This service involves learning to use an orthopedic device for your arm, leg, or trunk. The training lasts for 15 minutes and helps you understand how to properly use the device to support your recovery and enhance mobility.
40 services40 patients

Hospital Affiliations CMS Care Compare 3

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510007
Location2900 1st AvenueHuntington, WV 25702 · Cabell County
Emergency services

Cabell Huntington Hospital, Inc

Acute Care Hospitals · Huntington, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510055
Location1340 Hal Greer BoulevardHuntington, WV 25701 · Cabell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812
DME-Orthotic Devices · category DF011N
2 suppliers22 claims22 services$82.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CUMBERLAND CARDIOLOGY PSC
Internal Medicine (Cardiovascular Disease)
613 23RD ST, STE 230
ASHLAND, KY 41101
Boyd County (606) 324-4745
KENTUCKY HEART INSTITUTE
Internal Medicine (Cardiovascular Disease)
613 23RD ST, SUITE G-10
ASHLAND, KY 41101
Boyd County (606) 329-1997
MS. DIANA SUE KING ARNP
Nurse Practitioner (Family)
613 23RD ST, SUITE 230
ASHLAND, KY 41101
Boyd County (606) 408-3712
MARDINI & ASSOCIATES MD, PSC
Internal Medicine (Gastroenterology)
613 23RD ST, SUITE 120
ASHLAND, KY 41101
Boyd County (859) 684-6964
KENTUCKY HEART INSTITUTE INC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
613 23RD ST, SUITE 210
ASHLAND, KY 41101
Boyd County (606) 326-9847
DR. ERIC H BRONSTEIN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
613 23RD ST, SUITE 210
ASHLAND, KY 41101
Boyd County (606) 326-9847
RODERICK J. TOMPKINS JR. M.D.
Surgery
613 23RD ST, SUITE 440
ASHLAND, KY 41101
Boyd County (606) 329-2888
KENTUCKY HEART INSTITUTE
Surgery (Vascular Surgery)
613 23RD ST, SUITE 140
ASHLAND, KY 41101
Boyd County (606) 326-1675

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 Charles Gilliland's NPI number?

The NPI number for Charles Gilliland is 1366646192. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Charles Gilliland located?

Charles Gilliland practices at 613 23rd St Ste G30, Ashland, KY 41101. The listed phone number is (606) 327-0036.

What is Charles Gilliland's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Charles Gilliland enrolled in Medicare?

Yes. Charles Gilliland 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 Charles Gilliland accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list Charles Gilliland 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 Charles Gilliland affiliated with any hospitals?

According to CMS data, Charles Gilliland is affiliated with King's Daughters' Medical Center, St Mary's Medical Center and Cabell Huntington Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Charles Gilliland was last updated on November 17, 2021. 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.