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MICHAEL P GILLILAND O.D.
NPI 1528038825
Optometrist in Columbus, OH

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
105 GREAT SOUTHERN BLVD, COLUMBUS, OH 43207(614) 491-3435(614) 491-1699 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael P Gilliland O.d. NPPES

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

MICHAEL P GILLILAND O.D. (NPI 1528038825) is an individual optometrist in Columbus, Ohio, licensed in Ohio (3605) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1982).

NPPES Registry Identity

NPI1528038825
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMICHAEL P GILLILANDCredential: O.D.
Location Address105 GREAT SOUTHERN BLVDColumbus, OH 43207-4001
Mailing Address15933 Clayton Rd Ste 201Ballwin, MO 63011-2172 · (636) 200-4393 · Fax (636) 527-0766
Phone(614) 491-3435
Fax(614) 491-1699
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1982
Enumeration DateJanuary 26, 2006
Last NPPES UpdateOctober 4, 2016
✔ NPI 1528038825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · 3605
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
105 GREAT SOUTHERN BLVD, Columbus, OH 43207
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Other Identifiers 3

Medicare PIN0524509
Medicare UPIN3605OH
Medicare NSC1184130001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Michael P Gilliland O.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 ID8921005976
PECOS Enrollment IDI20061103000484
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

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43207 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES R FLEMING O.D.
Optometrist
105 GREAT SOUTHERN BLVD
COLUMBUS, OH 43207
Franklin County (614) 491-3435
SOUTHERN VISION CENTER, INC.
Optometrist
105 GREAT SOUTHERN BLVD
COLUMBUS, OH 43207
Franklin County (614) 491-3435

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 Michael Gilliland's NPI number?

The NPI number for Michael Gilliland is 1528038825. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Michael Gilliland located?

Michael Gilliland practices at 105 Great Southern Blvd, Columbus, OH 43207. The listed phone number is (614) 491-3435.

What is Michael Gilliland's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Michael Gilliland enrolled in Medicare?

Yes. Michael Gilliland 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 Michael Gilliland accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 8 other insurers list Michael Gilliland 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 Michael Gilliland was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.