DR. GERALD LUTHER FILMORE D
NPI 1548290232
Emergency Medicine in Newnan, GA

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
94.92/100
CMS Quality Rating
60 HOSPITAL RD, NEWNAN, GA 30263(800) 532-6151(706) 310-0390 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gerald Luther Filmore D NPPES

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

DR. GERALD LUTHER FILMORE D (NPI 1548290232) is an individual emergency medicine provider in Newnan, Georgia, licensed in Georgia (050288) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Wayne Memorial Hospital, and maintains a secondary practice location in Jesup.

NPPES Registry Identity

NPI1548290232
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. GERALD LUTHER FILMORECredential: D
Location Address60 HOSPITAL RDNewnan, GA 30263-1210
Mailing AddressPo Box 5661Athens, GA 30604-5661 · (706) 354-5770 · Fax (706) 354-5769
Fax(706) 310-0390
Sole ProprietorYes
Medical School CMSRutgers School Of Dental MedicineGraduated 1998
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 9, 2019
NPI 1548290232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in GA · 050288
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
60 HOSPITAL RD, Newnan, GA 30263

Secondary Practice Location 1

Location 1999 S Macon StJesup, GA 31545-0240 · Phone (912) 385-2732

Other Identifiers 1

Medicaid000912073EGA

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. Gerald Luther Filmore 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 ID749254423
PECOS Enrollment IDI20040820000006
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
277 services245 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
152 services137 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.
66 services63 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
47 services46 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.
21 services11 patients

Hospital Affiliations CMS Care Compare

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

Wayne Memorial Hospital

Acute Care Hospitals · Jesup, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110124
Location865 South First StreetJesup, GA 31545 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30263 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

94.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.43
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers39 claims39 services$6.65 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
1 supplier15 claims15 services$87.71 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$31.74 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.

Anesthesiology
60 HOSPITAL RD
NEWNAN, GA 30263
General Acute Care Hospital
60 HOSPITAL RD
NEWNAN, GA 30263
Emergency Medicine
60 HOSPITAL RD
NEWNAN, GA 30263
Emergency Medicine
60 HOSPITAL RD
NEWNAN, GA 30263
Nurse Anesthetist, Certified Registered
60 HOSPITAL RD
NEWNAN, GA 30263
Emergency Medicine
60 HOSPITAL RD
NEWNAN, GA 30263
Nurse Anesthetist, Certified Registered
60 HOSPITAL RD
NEWNAN, GA 30263
Nurse Anesthetist, Certified Registered
60 HOSPITAL RD
NEWNAN, GA 30263

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 Gerald Filmore's NPI number?

The NPI number for Gerald Filmore is 1548290232. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Gerald Filmore located?

Gerald Filmore practices at 60 Hospital Rd, Newnan, GA 30263. The listed phone number is (800) 532-6151.

What is Gerald Filmore's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Gerald Filmore enrolled in Medicare?

Yes. Gerald Filmore 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 Gerald Filmore accept?

Health plans from Oscar Insurance Company list Gerald Filmore 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 Gerald Filmore affiliated with any hospitals?

According to CMS data, Gerald Filmore is affiliated with Wayne Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Gerald Filmore was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.