AMBER HECKART GILMORE MD
NPI 1407210768
Family Medicine in Ukiah, CA

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
260 HOSPITAL DR STE 103, UKIAH, CA 95482(707) 463-7470 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 28, 2020, Jul 22, 2020, Jan 3, 2020 and 7 more (10 updates tracked since 2016).

About Amber Heckart Gilmore Md NPPES

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

AMBER HECKART GILMORE MD (NPI 1407210768) is an individual family medicine provider in Ukiah, California, licensed in California (A169012) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Brody School Of Medicine At East Carolina University (2016).

NPPES Registry Identity

NPI1407210768
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMBER HECKART GILMORECredential: MD
Location Address260 HOSPITAL DR STE 103Ukiah, CA 95482-4568
Mailing Address260 Hospital Dr Ste 103Ukiah, CA 95482-4568 · (707) 463-7470
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2016
Enumeration DateApril 12, 2016
Last NPPES UpdateJuly 28, 202010 updates tracked since enumeration
NPPES CertifiedJuly 28, 2020
NPI 1407210768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · A169012 Licensed in SC · 82249 Licensed in NC · 2017-01980
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.

260 HOSPITAL DR STE 103, Ukiah, CA 95482

Other Identifiers 6

Medicaid822499SC
OtherSCF4033365SC · Medicare Pin
OtherSCF4036084SC · Medicare Pin
OtherSCF403J577SC · Medicare Pin
OtherSCF4036121SC · Medicare Pin
OtherSCF4036067SC · Medicare Pin

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

Amber Heckart 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 ID2264726041
PECOS Enrollment IDI20200901002688
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 5

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
158 services79 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
70 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
64 services37 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.
42 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95482 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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
4 suppliers11 claims22 services$4.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$20.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier32 claims32 services$117.45 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.

Family Medicine
260 HOSPITAL DR STE 103
UKIAH, CA 95482
Student in an Organized Health Care Education/Training Program
260 HOSPITAL DR STE 103
UKIAH, CA 95482
Student in an Organized Health Care Education/Training Program
260 HOSPITAL DR STE 103
UKIAH, CA 95482
Family Medicine
260 HOSPITAL DR STE 103
UKIAH, CA 95482
Student in an Organized Health Care Education/Training Program
260 HOSPITAL DR STE 103
UKIAH, CA 95482
Family Medicine
260 HOSPITAL DR STE 103
UKIAH, CA 95482
Family Medicine (Adult Medicine)
260 HOSPITAL DR STE 103
UKIAH, CA 95482
Family Medicine
260 HOSPITAL DR STE 103
UKIAH, CA 95482

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 Amber Gilmore's NPI number?

The NPI number for Amber Gilmore is 1407210768. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Amber Gilmore located?

Amber Gilmore practices at 260 Hospital Dr Ste 103, Ukiah, CA 95482. The listed phone number is (707) 463-7470.

What is Amber Gilmore's specialty?

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

Is Amber Gilmore enrolled in Medicare?

Yes. Amber 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.

What insurance does Amber Gilmore accept?

Health plans from First Choice Next list Amber Gilmore 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.

When was this NPI record last updated?

The NPPES record for Amber Gilmore was last updated on July 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.