DR. WYMAN GILMORE III M.D.
NPI 1427410505
Family Medicine in Fort Worth, TX

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-1661 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2024, Jun 7, 2024, Apr 25, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Wyman Gilmore Iii M.d. NPPES

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

DR. WYMAN GILMORE III M.D. (NPI 1427410505) is an individual family medicine provider in Fort Worth, Texas, licensed in Tennessee (59667) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Henderson County Community Hospital, and is a graduate of University Of Alabama School Of Medicine (2016).

NPPES Registry Identity

NPI1427410505
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WYMAN GILMORE IIICredential: M.D.
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing Address1500 S Main StFort Worth, TX 76104-4917 · (817) 702-1661
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2016
Enumeration DateMarch 28, 2016
Last NPPES UpdateAugust 13, 20244 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1427410505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 59667
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 59667 (TN)
Also ListedInternal MedicineTaxonomy 207R00000X · License 59667 (TN)
Also ListedPediatricsTaxonomy 208000000X · License 59667 (TN)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 59667 (TN)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 59667 (TN)
Also ListedSurgeryTaxonomy 208600000X · License 59667 (TN)
1500 S MAIN ST, Fort Worth, TX 76104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Wyman Gilmore Iii 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 ID9234484734
PECOS Enrollment IDI20191018002641
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.

Medicare Billing Reassignments

11

Medicare enrollment records show Wyman Gilmore reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Tennessee enrollment
  • 93 clinicians in this Medicare group
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Tennessee enrollment
  • 116 clinicians in this Medicare group
Emergency Medicine
2545 N WASHINGTON AVE
Brownsville, TN 38012
  • Reassigned Medicare billing, Tennessee enrollment
  • 42 clinicians in this Medicare group
Emergency Medicine
200 WEST CHURCH STREET
Lexington, TN 38351
  • Reassigned Medicare billing, Tennessee enrollment
  • 49 clinicians in this Medicare group
Family Medicine
200 W CHURCH ST
Lexington, TN 38351
  • Reassigned Medicare billing, Tennessee enrollment
  • 48 clinicians in this Medicare group
Family Medicine
200 W CHURCH ST
Lexington, TN 38351
  • Reassigned Medicare billing, Tennessee enrollment
  • 47 clinicians in this Medicare group
Critical Access
2718 SQUIRREL HOLLOW DR
Linden, TN 37096
  • Reassigned Medicare billing, Tennessee enrollment
  • 27 clinicians in this Medicare group
Critical Access
5001 E MAIN ST
Erin, TN 37061
  • Reassigned Medicare billing, Tennessee enrollment
  • Also billed through NPI 1033878277 (Tennessee)
  • 33 clinicians in this Medicare group
Emergency Medicine
2300 PATTERSON ST
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 414 clinicians in this Medicare group
Emergency Medicine
1011 OLD HIGHWAY 60
Hardinsburg, KY 40143
  • Reassigned Medicare billing, Tennessee enrollment
  • 70 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 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.
200 services188 patients
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.
102 services100 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Henderson County Community Hospital

Acute Care Hospitals · Lexington, TN
OwnershipProprietary
CMS Certification Number440008
Location200 W Church StLexington, TN 38351 · Henderson County
Emergency services

Baptist Memorial Hospital - Carroll County

Acute Care Hospitals · Huntingdon, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440016
Location631 Rb Wilson DrHuntingdon, TN 38344 · Carroll County
Emergency services

Tristar Horizon Medical Center

Acute Care Hospitals · Dickson, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440046
Location111 Highway 70 EastDickson, TN 37055 · Dickson County
Emergency services Birthing friendly

Tristar Southern Hills Medical Center

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440197
Location391 Wallace RdNashville, TN 37211 · Davidson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104

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 Wyman Gilmore's NPI number?

The NPI number for Wyman Gilmore is 1427410505. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Wyman Gilmore located?

Wyman Gilmore practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-1661.

What is Wyman Gilmore's specialty?

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

Is Wyman Gilmore enrolled in Medicare?

Yes. Wyman 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.

Which organizations bill Medicare for Wyman Gilmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wyman Gilmore reassigns Medicare benefits to 11 organizations: South Central Physicians PLLC (Lubbock, TX), Concord Medical Group PLLC (Lubbock, TX), Haywood County Community Hospital, Inc (Brownsville, TN), Lexington Hospital Corporation (Lexington, TN), Lexington Clinic Corp (Lexington, TN) and 6 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wyman Gilmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wyman Gilmore accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Health Plan, Inc. and Oscar Insurance Company list Wyman 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.

Is Wyman Gilmore affiliated with any hospitals?

According to CMS data, Wyman Gilmore is affiliated with Henderson County Community Hospital, Baptist Memorial Hospital - Carroll County, Tristar Horizon Medical Center and Tristar Southern Hills Medical Center.

When was this NPI record last updated?

The NPPES record for Wyman Gilmore was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.