JASON GILMORE MD
NPI 1699569640
Pediatrics in Grand Rapids, MI

Q: What is Jason Gilmore's NPI number?

The NPI number for Jason Gilmore is 1699569640. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Q: What is Jason Gilmore's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Gilmore was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since April 07, 2025PECOS Enrolled

330 BARCLAY AVE NE STE 300, GRAND RAPIDS, MI 49503(616) 391-8810 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2025, Apr 7, 2025 (2 updates tracked since 2025).

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About Jason Gilmore Md NPPES

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

JASON GILMORE MD (NPI 1699569640) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4351054484) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699569640

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJASON GILMORECredential: MD

Location Address330 BARCLAY AVE NE STE 300Grand Rapids, MI 49503-2527

Mailing Address330 Barclay Ave Ne Ste 300Grand Rapids, MI 49503-2527

Phone(616) 391-8810

Sole ProprietorNo

Enumeration DateApril 7, 2025

Last NPPES UpdateJune 25, 20252 updates tracked since enumeration

NPPES CertifiedJune 25, 2025

✔ NPI 1699569640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4351054484

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

330 BARCLAY AVE NE STE 300, Grand Rapids, MI 49503

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Gilmore Md 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 49503 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

AUBREY GRAHAM MD

Pediatrics