JESICAH MARIE GILMORE M.D.
NPI 1487970158
Family Medicine in Tulsa, OK

Q: What is Jesicah Gilmore's NPI number?

The NPI number for Jesicah Gilmore is 1487970158. It was assigned to this individual provider in the NPPES registry on April 20, 2010.

Q: What is Jesicah Gilmore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jesicah Gilmore was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 20, 2010PECOS EnrolledAccepts Medicare Assignment

550 S PEORIA AVE, TULSA, OK 74120(918) 588-1900(918) 582-6405 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jesicah Marie Gilmore M.d. NPPES

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

JESICAH MARIE GILMORE M.D. (NPI 1487970158) is an individual family medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (27867) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Council Oak Comprehensive Healthcare, and is a graduate of University Of Oklahoma College Of Medicine (2010).

NPPES Registry Identity

NPI1487970158

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJESICAH MARIE GILMORECredential: M.D.

Location Address550 S PEORIA AVETulsa, OK 74120-3820

Mailing Address550 S Peoria AveTulsa, OK 74120-3820 · (918) 588-1900 · Fax (918) 582-6405

Phone(918) 588-1900

Fax(918) 582-6405

Sole ProprietorYes

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2010

Enumeration DateApril 20, 2010

Last NPPES UpdateJune 16, 2015

✔ NPI 1487970158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OK · 27867

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.

550 S PEORIA AVE, Tulsa, OK 74120

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Other Identifiers 7

Other73-1042545OK · Group Medicare

Other731042545001OK · Group Tricare

Other100732910-AOK · Group Medicaid/soonercare

Other73-1042545OK · Group Community Care Of Oklahoma

Medicaid200330420 BOK

Other100732910-GOK · Group Medicaid/soonercare

Other73-1042545OK · Group Bcbs

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

Jesicah Marie Gilmore 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 ID2567694193

PECOS Enrollment IDI20141203000568, I20241017003168

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 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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

99 services52 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

26 services25 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.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Council Oak Comprehensive Healthcare

Acute Care Hospitals · Tulsa, OK

OwnershipTribal

CMS Certification Number370244

Location10109 E 79th StTulsa, OK 74133 · Tulsa County

Creek Nation Community Hospital

Critical Access Hospitals · Okemah, OK

OwnershipTribal

CMS Certification Number371333

Location1800 E CoplinOkemah, OK 74859 · Okfuskee County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74120 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$14.90 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers14 claims14 services$174.11 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.

ANNA CHRISTINE SOBOL RD

Dietitian, Registered