GINA GILMORE NP
NPI 1497277396
Nurse Practitioner - Gerontology in Charlottesville, VA

Active since July 12, 2017PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911(434) 654-7580(434) 654-7582 Get Directions Write a Review

NPPES record last updated: July 2, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 2, 2018, Jul 12, 2017 (2 updates tracked since 2017).

About Gina Gilmore Np NPPES

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

GINA GILMORE NP (NPI 1497277396) is an individual gerontology provider in Charlottesville, Virginia, licensed in Virginia (0024175220) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Sentara Martha Jefferson Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1497277396
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameGINA GILMORECredential: NP
Location Address500 MARTHA JEFFERSON DRCharlottesville, VA 22911
Mailing AddressPo Box 79777Baltimore, MD 21279-0777 · (434) 654-7794 · Fax (434) 654-7582
Fax(434) 654-7582
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 12, 2017
Last NPPES UpdateJuly 2, 20182 updates tracked since enumeration
✔ NPI 1497277396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in VA · 0024175220
500 MARTHA JEFFERSON DR, Charlottesville, VA 22911

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

Gina Gilmore Np 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 ID3870869688
PECOS Enrollment IDI20171024000203
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

3

Medicare enrollment records show Gina Gilmore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
590 PETER JEFFERSON PKWY STE 300
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 307 clinicians in this Medicare group
Internal Medicine
501 SUNSET LN
Culpeper, VA 22701
  • Reassigned Medicare billing, Virginia enrollment
  • 1,294 clinicians in this Medicare group
Critical Care Medicine
5801 BREMO RD
Richmond, VA 23226
  • Reassigned Medicare billing, Virginia enrollment
  • 134 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

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.

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.
35 services31 patients

Hospital Affiliations CMS Care Compare

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

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

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.

Neurological Surgery
500 MARTHA JEFFERSON DR, 5TH FLOOR
CHARLOTTESVILLE, VA 22911
Nurse Practitioner (Family)
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Nurse Practitioner (Gerontology)
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Radiology (Diagnostic Radiology)
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE RADIOLOGY
CHARLOTTESVILLE, VA 22911
Emergency Medicine
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Urology
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Physician Assistant
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Internal Medicine
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911

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 Gina Gilmore's NPI number?

The NPI number for Gina Gilmore is 1497277396. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Where is Gina Gilmore located?

Gina Gilmore practices at 500 Martha Jefferson Dr, Charlottesville, VA 22911. The listed phone number is (434) 654-7580.

What is Gina Gilmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Gina Gilmore enrolled in Medicare?

Yes. Gina 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 Gina Gilmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Gilmore reassigns Medicare benefits to 3 organizations: Martha Jefferson Medical Group LLC (Charlottesville, VA), Emergency Medicine Associates P.A., P.C. (Culpeper, VA) and Sound Physicians Intensivists Of Virginia LLC (Richmond, VA). 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 Gina Gilmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gina Gilmore affiliated with any hospitals?

According to CMS data, Gina Gilmore is affiliated with Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Gina Gilmore was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.