DR. JEREMY D GILLIAM MD
NPI 1538284153
Radiology - Diagnostic Radiology in Fort Wayne, IN

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
5001 US HIGHWAY 30 W STE D, FORT WAYNE, IN 46818(260) 432-4969(260) 432-4969 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeremy D Gilliam Md NPPES

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

DR. JEREMY D GILLIAM MD (NPI 1538284153) is an individual diagnostic radiology provider in Fort Wayne, Indiana, licensed in Indiana (01064785A) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Indiana University School Of Medicine (2003).

NPPES Registry Identity

NPI1538284153
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JEREMY D GILLIAMCredential: MD
Location Address5001 US HIGHWAY 30 W STE DFort Wayne, IN 46818-9701
Mailing AddressPo Box 80070Fort Wayne, IN 46898-0070 · (260) 432-1568 · Fax (260) 432-4969
Fax(260) 432-4969
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2003
Enumeration DateMarch 20, 2007
Last NPPES UpdateJune 20, 2016
NPI 1538284153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in IN · 01064785A Licensed in OH · 35.091145 Licensed in KY · R1044
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
5001 US HIGHWAY 30 W STE D, Fort Wayne, IN 46818

Other Identifiers 5

Medicare PINP01500307IN
Medicare PIN981270002IN
Medicaid200939030IN
Medicaid2840742OH
Medicaid1538284153MI

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

Dr. Jeremy D Gilliam Md 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 ID8820169600
PECOS Enrollment IDI20080623000222, I20210510002617
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 51

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
376 services356 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
182 services178 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
181 services180 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
149 services149 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
142 services141 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
128 services128 patients

Hospital Affiliations CMS Care Compare 5

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

Marion General Hospital

Acute Care Hospitals · Marion, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150011
Location441 N Wabash AveMarion, IN 46952 · Grant County
Emergency services Birthing friendly

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

The Orthopaedic Hospital Of Lutheran Health Networ

Acute Care Hospitals · Fort Wayne, IN
OwnershipProprietary
CMS Certification Number150168
Location7952 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Greene County General Hospital

Critical Access Hospitals · Linton, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number151317
Location1185 N 1000 WLinton, IN 47441 · Greene County
Emergency services Birthing friendly

Adams Memorial Hospital

Critical Access Hospitals · Decatur, IN
OwnershipGovernment - Local
CMS Certification Number151330
Location1100 Mercer AveDecatur, IN 46733 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46818 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 20

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

Radiology (Diagnostic Radiology)
5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN 46818
Radiology (Diagnostic Radiology)
5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN 46818
Radiology (Diagnostic Radiology)
5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN 46818
Radiology (Diagnostic Radiology)
5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN 46818
Radiology (Diagnostic Radiology)
5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN 46818
Radiology (Diagnostic Radiology)
5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN 46818
Radiology (Diagnostic Radiology)
5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN 46818
Radiology (Diagnostic Radiology)
5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN 46818

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 Jeremy Gilliam's NPI number?

The NPI number for Jeremy Gilliam is 1538284153. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Jeremy Gilliam located?

Jeremy Gilliam practices at 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818. The listed phone number is (260) 432-4969.

What is Jeremy Gilliam's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jeremy Gilliam enrolled in Medicare?

Yes. Jeremy Gilliam 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 Jeremy Gilliam accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 3 other insurers list Jeremy Gilliam 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 Jeremy Gilliam affiliated with any hospitals?

According to CMS data, Jeremy Gilliam is affiliated with Marion General Hospital, Lutheran Hospital Of Indiana, The Orthopaedic Hospital Of Lutheran Health Networ, Greene County General Hospital and Adams Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jeremy Gilliam was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.