Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARK LYNN GILMORE DDS
NPI 1619954203
Dentist - General Practice in Kansas City, KS

Active since December 27, 2005PECOS Enrolled
4655 STATE AVE, KANSAS CITY, KS 66102(913) 278-7977(913) 278-5022 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Lynn Gilmore Dds NPPES

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

MARK LYNN GILMORE DDS (NPI 1619954203) is an individual general practice provider in Kansas City, Kansas, licensed in Kansas (60274) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619954203
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMARK LYNN GILMORECredential: DDS
Location Address4655 STATE AVEKansas City, KS 66102-3603
Mailing Address415 N Grand AvePueblo, CO 81003-3111 · (719) 546-3333 · Fax (719) 546-3334
Fax(913) 278-5022
Sole ProprietorNo
Enumeration DateDecember 27, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1619954203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in KS · 60274 Licensed in MO · 2004014920
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4655 STATE AVE, Kansas City, KS 66102

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 (PECOS)

Mark Lynn Gilmore Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66102 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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 5

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

Dentist (General Practice)
4655 STATE AVE
KANSAS CITY, KS 66102
Dentist (General Practice)
4655 STATE AVE
KANSAS CITY, KS 66102
Dentist
4655 STATE AVE
KANSAS CITY, KS 66102
Dentist (General Practice)
4655 STATE AVE
KANSAS CITY, KS 66102
Dentist (General Practice)
4655 STATE AVE
KANSAS CITY, KS 66102

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 Mark Gilmore's NPI number?

The NPI number for Mark Gilmore is 1619954203. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Mark Gilmore located?

Mark Gilmore practices at 4655 State Ave, Kansas City, KS 66102. The listed phone number is (913) 278-7977.

What is Mark Gilmore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mark Gilmore enrolled in Medicare?

Yes. Mark Gilmore is registered in the Medicare PECOS enrollment system.

What insurance does Mark Gilmore accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Gilmore was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.