BREEANN GILMORE C.R.N.P,
NPI 1679941884
Nurse Practitioner - Family in Dothan, AL

Active since September 03, 2015PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
480 HONEYSUCKLE RD, DOTHAN, AL 36305(334) 836-1212 Get Directions Write a Review

NPPES record last updated: September 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breeann Gilmore C.r.n.p, NPPES

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

BREEANN GILMORE C.R.N.P, (NPI 1679941884) is an individual family provider in Dothan, Alabama, licensed in Alabama (1-121555) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1679941884
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBREEANN GILMORECredential: C.R.N.P,
Location Address480 HONEYSUCKLE RDDothan, AL 36305-1156
Mailing Address480 Honeysuckle RdDothan, AL 36305-1156 · (334) 836-1212
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 3, 2015
NPI 1679941884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AL · 1-121555
480 HONEYSUCKLE RD, Dothan, AL 36305

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

Breeann Gilmore C.r.n.p, 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 ID5496065914
PECOS Enrollment IDI20151112000449
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 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.
457 services383 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36305 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
58%834 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
91%1,880 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
97%2,249 patients4/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%1,508 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 33% · 296 patients
Patients tobacco: 27% · 296 patients
18%22 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
72%2,249 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%2,249 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 624 patients
2%624 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Family)
480 HONEYSUCKLE RD
DOTHAN, AL 36305
Internal Medicine (Gastroenterology)
480 HONEYSUCKLE RD
DOTHAN, AL 36305
Nurse Practitioner
480 HONEYSUCKLE RD
DOTHAN, AL 36305
Internal Medicine (Gastroenterology)
480 HONEYSUCKLE RD
DOTHAN, AL 36305
Internal Medicine (Gastroenterology)
480 HONEYSUCKLE RD
DOTHAN, AL 36305
Nurse Practitioner
480 HONEYSUCKLE RD
DOTHAN, AL 36305
Internal Medicine (Gastroenterology)
480 HONEYSUCKLE RD
DOTHAN, AL 36305
Internal Medicine (Gastroenterology)
480 HONEYSUCKLE RD
DOTHAN, AL 36305

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 Breeann Gilmore's NPI number?

The NPI number for Breeann Gilmore is 1679941884. It was assigned to this individual provider in the NPPES registry on September 3, 2015.

Where is Breeann Gilmore located?

Breeann Gilmore practices at 480 Honeysuckle Rd, Dothan, AL 36305. The listed phone number is (334) 836-1212.

What is Breeann Gilmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Breeann Gilmore enrolled in Medicare?

Yes. Breeann 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 Breeann Gilmore accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Breeann 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 Breeann Gilmore was last updated on September 3, 2015. 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.