DR. RICHARD GILMORE MD
NPI 1588083927
Surgery - Surgical Oncology in Memphis, TN

Q: What is Richard Gilmore's NPI number?

The NPI number for Richard Gilmore is 1588083927. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Q: What is Richard Gilmore's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for Richard Gilmore was last updated on May 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 14, 2014PECOS EnrolledAccepts Medicare Assignment

87.86/100

CMS Quality Rating

7945 WOLF RIVER BLVD, MEMPHIS, TN 38138(901) 683-0055 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 7, 2021, Jun 9, 2020 (2 updates tracked since 2020).

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About Dr. Richard Gilmore Md NPPES

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

DR. RICHARD GILMORE MD (NPI 1588083927) is an individual surgical oncology provider in Memphis, Tennessee, licensed in Tennessee (61084) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Of Memphis, and is a graduate of Emory University School Of Medicine (2015).

NPPES Registry Identity

NPI1588083927

Entity TypeIndividualMale

Primary Taxonomy2086X0206X

Provider Legal NameDR. RICHARD GILMORECredential: MD

Location Address7945 WOLF RIVER BLVDMemphis, TN 38138-1762

Mailing Address7945 Wolf River BlvdGermantown, TN 38138-1762 · (901) 683-0055

Phone(901) 683-0055

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2015

Enumeration DateApril 14, 2014

Last NPPES UpdateMay 7, 20212 updates tracked since enumeration

NPPES CertifiedMay 7, 2021

✔ NPI 1588083927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

License✔ Licensed in TN · 61084

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

7945 WOLF RIVER BLVD, Memphis, TN 38138

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Other Identifiers 1

MedicaidQ065204TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia 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

Dr. Richard Gilmore 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 ID7012229909

PECOS Enrollment IDI20210518001194

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 13

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 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.

331 services279 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

204 services202 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

49 services37 patients

X-ray of surgical specimen 76098

An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.

42 services38 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

27 services27 patients

Partial removal of breast 19301

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

26 services24 patients

Ultrasonic guidance during surgery 76998

Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.

26 services24 patients

Biopsy or removal of deep lymph nodes of underarm 38525

A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.

24 services24 patients

Imaging of lymph nodes during surgery 38900

Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.

24 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Biopsy of breast and placement of locating device using ultrasound, first growth 19083

A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.

18 services17 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

15 services15 patients

Simple complete removal of breast 19303

This procedure involves the total removal of breast tissue. It's typically done to treat or prevent conditions like cancer. The operation involves an incision on the skin, removal of the tissue, and closure of the wound. Post-surgery, care and recovery plans are provided.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440049

Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38138 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

$160.89 typical visit price

range $52.64 – $160.89

Typical copayment $40.22 (range $13.16 – $40.22)

Most-billed visit code 99205

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

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.

87.86/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.3

Promoting Interoperability

100

Improvement Activities

Cost

75.5

Referred Medical Equipment & Supplies CMS DME claims

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000

DME-Orthotic Devices · category DF000N

2 suppliers20 claims51 services$35.14 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.

MARK J SCOTT P.A.-C.

Internal Medicine (Hematology & Oncology)

7945 WOLF RIVER BLVD, STE 300
GERMANTOWN, TN 38138

Shelby County (901) 684-2400

BARRY BOSTON MD

Internal Medicine (Hematology & Oncology)

7945 WOLF RIVER BLVD, SUITE 300
GERMANTOWN, TN 38138

Shelby County (901) 767-4520

DR. PAXTON V. DICKSON M.D.

Surgery (Surgical Oncology)

7945 WOLF RIVER BLVD, SUITE 289
GERMANTOWN, TN 38138

Shelby County (901) 347-8270

MELANIE SANDERS JENKINS FNP

Nurse Practitioner (Family)

7945 WOLF RIVER BLVD, SUITE 300
GERMANTOWN, TN 38138

Shelby County (901) 725-1785

PATRICIA GRIMES HARRIS SLP

Speech-Language Pathologist

7945 WOLF RIVER BLVD, SUITE 290
GERMANTOWN, TN 38138

Shelby County (901) 866-8570

MISS RACHEL COVINGTON M.S

Genetic Counselor, MS

7945 WOLF RIVER BLVD
GERMANTOWN, TN 38138

Shelby County (901) 683-0055

LAUREN BOKOVITZ M.S.

Genetic Counselor, MS

7945 WOLF RIVER BLVD
GERMANTOWN, TN 38138

Shelby County (901) 683-0055

DR. ARI M. VANDERWALDE M.D.

Internal Medicine (Medical Oncology)

7945 WOLF RIVER BLVD
GERMANTOWN, TN 38138

Shelby County (901) 683-0055

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 Richard Gilmore's NPI number?

The NPI number for Richard Gilmore is 1588083927. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Richard Gilmore located?

Richard Gilmore practices at 7945 Wolf River Blvd, Memphis, TN 38138. The listed phone number is (901) 683-0055.

What is Richard Gilmore's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Richard Gilmore enrolled in Medicare?

Yes. Richard 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.

What insurance does Richard Gilmore accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Richard Gilmore 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 Richard Gilmore affiliated with any hospitals?

According to CMS data, Richard Gilmore is affiliated with Methodist Hospitals Of Memphis.

When was this NPI record last updated?

The NPPES record for Richard Gilmore was last updated on May 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.