1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Dentist
  6. NPI Profile

DR. ROBERT KENTON GILMORE D.M.D.
NPI 1376956441
Dentist in Peoria, IL

Active since June 06, 2014PECOS Enrolled
4408 N KNOXVILLE AVE, SUITE D, PEORIA, IL 61614(309) 682-5522(309) 682-7698 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Robert Kenton Gilmore D.m.d. NPPES

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

DR. ROBERT KENTON GILMORE D.M.D. (NPI 1376956441) is an individual dentist in Peoria, Illinois, licensed in Illinois (019023687) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376956441
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ROBERT KENTON GILMORECredential: D.M.D.
Location Address4408 N KNOXVILLE AVE, SUITE DPeoria, IL 61614-6084
Mailing Address4408 N. Knoxville, Suite DPeoria, IL 61614-6084 · (309) 682-5522 · Fax (309) 682-7698
Phone(309) 682-5522
Fax(309) 682-7698
Sole ProprietorNo
Enumeration DateJune 6, 2014
✔ NPI 1376956441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019023687
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4408 N KNOXVILLE AVE, Peoria, IL 61614
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert Kenton Gilmore D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 4

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

DR. CARLA C COURI D.M.D.
Dentist (General Practice)
4408 N KNOXVILLE AVE, STE D
PEORIA, IL 61614
Peoria County (309) 682-5522
CARLA C. COURI, D.M.D., LTD.
Dentist (General Practice)
4408 N KNOXVILLE AVE, SUITE D
PEORIA, IL 61614
Peoria County (309) 682-5522
DR. RICHARD CHARLES KERN O.D.
Optometrist
4408 N KNOXVILLE AVE, SUITE C
PEORIA, IL 61614
Peoria County (309) 682-6214
KERN OPTOMETRIC ASSOCIATES PC
Optometrist
4408 N KNOXVILLE AVE, SUITE C
PEORIA, IL 61614
Peoria County (309) 682-6214

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 Robert Gilmore's NPI number?

The NPI number for Robert Gilmore is 1376956441. It was assigned to this individual provider in the NPPES registry on June 6, 2014.

Where is Robert Gilmore located?

Robert Gilmore practices at 4408 N Knoxville Ave Suite D, Peoria, IL 61614. The listed phone number is (309) 682-5522.

What is Robert Gilmore's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Robert Gilmore enrolled in Medicare?

Yes. Robert Gilmore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Gilmore was last updated on June 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.