MARTIN E. GILLILAND M.D.
NPI 1376509190
Family Medicine in Jasper, TX

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
315 W HOUSTON ST, JASPER, TX 75951(409) 384-3430(409) 383-0571 Get Directions Write a Review

NPPES record last updated: February 14, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Martin E. Gilliland M.d. NPPES

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

MARTIN E. GILLILAND M.D. (NPI 1376509190) is an individual family medicine provider in Jasper, Texas, licensed in Texas (J3107) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Beaumont Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1376509190
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARTIN E. GILLILANDCredential: M.D.
Location Address315 W HOUSTON STJasper, TX 75951-4013
Mailing Address315 W Houston StJasper, TX 75951-4013 · (409) 384-3430 · Fax (409) 383-0571
Fax(409) 383-0571
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateApril 21, 2006
Last NPPES UpdateFebruary 14, 2012
NPI 1376509190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · J3107
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
315 W HOUSTON ST, Jasper, TX 75951

Other Identifiers 3

Medicare UPINE98276
Medicaid133051602TX
Medicare ID-Type Unspecified85X800TX

Accepted 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

Martin E. Gilliland 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 ID648201061
PECOS Enrollment IDI20101122000953
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 42

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
3,086 services288 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.
2,329 services718 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
2,138 services299 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,784 services199 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
444 services164 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
382 services77 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Beaumont Hospital

Acute Care Hospitals · Beaumont, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450346
Location3080 College StreetBeaumont, TX 77701 · Jefferson County
Emergency services Birthing friendly

Tyler County Hospital

Acute Care Hospitals · Woodville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450460
Location1100 West BluffWoodville, TX 75979 · Tyler County
Emergency services

Christus Jasper Memorial Hospital

Acute Care Hospitals · Jasper, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450573
Location1275 Marvin Hancock DriveJasper, TX 75951 · Jasper County
Emergency services

Sabine County Hospital

Critical Access Hospitals · Hemphill, TX
OwnershipProprietary
CMS Certification Number451361
LocationPO Box 750, 2301 Hwy 83 WHemphill, TX 75948 · Sabine County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75951 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.84
Improvement Activities40
Cost59.55

Referred Medical Equipment & Supplies CMS DME claims 21

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers53 claims175 services$6.75 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers22 claims23 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers34 claims66 services$1.23 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
2 suppliers15 claims15 services$4.73 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims20 services$7.98 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
2 suppliers15 claims30 services$5.42 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 13

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

Nurse Practitioner (Family)
315 W HOUSTON ST
JASPER, TX 75951
Family Medicine
315 W HOUSTON ST
JASPER, TX 75951
Family Medicine
315 W HOUSTON ST
JASPER, TX 75951
Nurse Practitioner (Family)
315 W HOUSTON ST
JASPER, TX 75951
Internal Medicine (Cardiovascular Disease)
315 W HOUSTON ST
JASPER, TX 75951
Nurse Practitioner (Family)
315 W HOUSTON ST
JASPER, TX 75951
Nurse Practitioner (Family)
315 W HOUSTON ST
JASPER, TX 75951
Nurse Practitioner (Women's Health)
315 W HOUSTON ST
JASPER, TX 75951

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 Martin Gilliland's NPI number?

The NPI number for Martin Gilliland is 1376509190. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Martin Gilliland located?

Martin Gilliland practices at 315 W Houston St, Jasper, TX 75951. The listed phone number is (409) 384-3430.

What is Martin Gilliland's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Martin Gilliland enrolled in Medicare?

Yes. Martin 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 Martin Gilliland accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Martin 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 Martin Gilliland affiliated with any hospitals?

According to CMS data, Martin Gilliland is affiliated with Baptist Beaumont Hospital, Tyler County Hospital, Christus Jasper Memorial Hospital and Sabine County Hospital.

When was this NPI record last updated?

The NPPES record for Martin Gilliland was last updated on February 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.