SUZETTE ANN DENISE KILGORE M.D.
NPI 1497724124
Internal Medicine - Critical Care Medicine in Gallatin, TN

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment
555 HARTSVILLE PIKE, GALLATIN, TN 37066(615) 328-8888 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2024, Oct 4, 2023, Feb 23, 2023 and 1 more (4 updates tracked since 2023).

About Suzette Ann Denise Kilgore M.d. NPPES

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

SUZETTE ANN DENISE KILGORE M.D. (NPI 1497724124) is an individual critical care medicine provider in Gallatin, Tennessee, licensed in Tennessee (040794) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and maintains a secondary practice location in Hendersonville.

NPPES Registry Identity

NPI1497724124
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameSUZETTE ANN DENISE KILGORECredential: M.D.
Location Address555 HARTSVILLE PIKEGallatin, TN 37066-2400
Mailing Address1156 Nashville PikeGallatin, TN 37066-3110 · (615) 442-8343 · Fax (615) 246-6202
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMarch 15, 2006
Last NPPES UpdateOctober 11, 20244 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
NPI 1497724124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in TN · 040794
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 040794 (TN)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 040794 (TN)
555 HARTSVILLE PIKE, Gallatin, TN 37066

Other Names 1

Former Name (1)Suzette Ann Denise Panton M.d.

Secondary Practice Location 1

Location 1355 New Shackle Island RdHendersonville, TN 37075-2479 · Phone (615) 338-1000

Other Identifiers 2

Medicaid1510860TN
Medicaid08406750MS

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

Suzette Ann Denise Kilgore 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 ID4284656125
PECOS Enrollment IDI20061019000628
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 4

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.
257 services134 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.
155 services68 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.
24 services24 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440003
Location555 Hartsville PikeGallatin, TN 37066 · Sumner County
Emergency services Birthing friendly

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

Tristar Hendersonville Medical Center

Acute Care Hospitals · Hendersonville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440194
Location355 New Shackle Island RdHendersonville, TN 37075 · Sumner County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37066 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%97 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers14 claims14 services$11.48 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers35 claims82 services$1.42 avg. paid by Medicare
Filter, non disposable, used with positive airway pressure device A7039
DME-Other DME · category DE001N
2 suppliers13 claims13 services$3.79 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier29 claims29 services$28.61 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
3 suppliers19 claims19 services$71.32 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.

Emergency Medicine
555 HARTSVILLE PIKE, EMERGENCY PHYSICIANS AT SUMNER
GALLATIN, TN 37066
Dietitian, Registered
555 HARTSVILLE PIKE
GALLATIN, TN 37066
Hospitalist
555 HARTSVILLE PIKE
GALLATIN, TN 37066
Skilled Nursing Facility
555 HARTSVILLE PIKE
GALLATIN, TN 37066
Specialist/Technologist (Athletic Trainer)
555 HARTSVILLE PIKE
GALLATIN, TN 37066
Physician Assistant
555 HARTSVILLE PIKE
GALLATIN, TN 37066
Physician Assistant
555 HARTSVILLE PIKE
GALLATIN, TN 37066
Physician Assistant (Medical)
555 HARTSVILLE PIKE
GALLATIN, TN 37066

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 Suzette Ann Kilgore's NPI number?

The NPI number for Suzette Ann Kilgore is 1497724124. It was assigned to this individual provider in the NPPES registry on March 15, 2006. The provider is also known as Suzette Ann Denise Panton M.D..

Where is Suzette Ann Kilgore located?

Suzette Ann Kilgore practices at 555 Hartsville Pike, Gallatin, TN 37066. The listed phone number is (615) 328-8888.

What is Suzette Ann Kilgore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Suzette Ann Kilgore enrolled in Medicare?

Yes. Suzette Ann Kilgore 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 Suzette Ann Kilgore accept?

Health plans from Oscar Insurance Company list Suzette Ann Kilgore 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 Suzette Ann Kilgore affiliated with any hospitals?

According to CMS data, Suzette Ann Kilgore is affiliated with Sumner Regional Medical Center, Ascension Saint Thomas Hospital, Tristar Centennial Medical Center and Tristar Hendersonville Medical Center.

When was this NPI record last updated?

The NPPES record for Suzette Ann Kilgore was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.