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MICHAEL C. GILLIAM MD
NPI 1760550602
Internal Medicine in Laurinburg, NC

Active since November 30, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
500 LAUCHWOOD DR, LAURINBURG, NC 28352(910) 291-6904 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 50 more (53 updates tracked since 2018).

About Michael C. Gilliam Md NPPES

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

MICHAEL C. GILLIAM MD (NPI 1760550602) is an individual internal medicine provider in Laurinburg, North Carolina, licensed in North Carolina (2008-01235) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Scotland Memorial Hospital, and maintains a secondary practice location in Whiteville.

NPPES Registry Identity

NPI1760550602
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL C. GILLIAMCredential: MD
Location Address500 LAUCHWOOD DRLaurinburg, NC 28352-5501
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(910) 291-6904
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2005
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 15, 202453 updates tracked since enumeration
✔ NPI 1760550602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2008-01235
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 2008-01235 (NC)
500 LAUCHWOOD DR, Laurinburg, NC 28352
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Secondary Practice Location 1

Location 1500 Jefferson StWhiteville, NC 28472-3634 · Phone (910) 642-1776

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael C. Gilliam 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 ID3779658752
PECOS Enrollment IDI20080826000841
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Gilliam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Scotland Regional Health Network
Same address
Surgical Critical Care
500 LAUCHWOOD DR
Laurinburg, NC 28352
  • Reassigned Medicare billing, North Carolina enrollment
  • 248 clinicians in this Medicare group
NPI 1164726105 (910) 277-9164
Columbus Regional Health Network
52 mi
Family Medicine
320 JEFFERSON ST
Whiteville, NC 28472
  • Reassigned Medicare billing, North Carolina enrollment
  • 216 clinicians in this Medicare group
NPI 1134509912 (910) 641-8600
Carolinas Physicians Network Inc
57 mi
Cardiovascular Disease
1908 HILCO ST STE A
Albemarle, NC 28001
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,646 clinicians in this Medicare group
NPI 1265756894 (704) 982-8686

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
376 services130 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
130 services118 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
55 services50 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
22 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Scotland Memorial Hospital

Acute Care Hospitals · Laurinburg, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340008
Location500 Lauchwood DrLaurinburg, NC 28352 · Scotland County
Emergency services Birthing friendly

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28352 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers49 claims49 services$19.98 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
2 suppliers48 claims48 services$114.31 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.

BRIAN DALRYMPLE
Hospitalist
500 LAUCHWOOD DR
LAURINBURG, NC 28352
Scotland County (910) 291-6904
NORTH CAROLINA EMERGENCY PHYSICIANS, PLLC
Emergency Medicine
500 LAUCHWOOD DR
LAURINBURG, NC 28352
Scotland County (910) 291-7000
JEFFREY ALAN MOORE MD
Internal Medicine
500 LAUCHWOOD DR
LAURINBURG, NC 28352
Scotland County (910) 291-6904
ELIZABETH BERRY NP
Nurse Practitioner
500 LAUCHWOOD DR
LAURINBURG, NC 28352
Scotland County (910) 277-9164
RONALD L. DUPLER DO
Emergency Medicine
500 LAUCHWOOD DR
LAURINBURG, NC 28352
Scotland County (910) 291-7444
MRS. JOYE WALLACE NORTON FNP-C
Nurse Practitioner (Family)
500 LAUCHWOOD DR
LAURINBURG, NC 28352
Scotland County (910) 291-7680
CHLOE RENEE HUNT PA - C
Physician Assistant
500 LAUCHWOOD DR
LAURINBURG, NC 28352
Scotland County (910) 291-7659
JORDAN RYAN TUCKER FNP
Nurse Practitioner (Family)
500 LAUCHWOOD DR
LAURINBURG, NC 28352
Scotland County (910) 277-9164

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 Michael Gilliam's NPI number?

The NPI number for Michael Gilliam is 1760550602. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Michael Gilliam located?

Michael Gilliam practices at 500 Lauchwood Dr, Laurinburg, NC 28352. The listed phone number is (910) 291-6904.

What is Michael Gilliam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Gilliam enrolled in Medicare?

Yes. Michael Gilliam 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.

Which organizations bill Medicare for Michael Gilliam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Gilliam reassigns Medicare benefits to 3 organizations: Scotland Regional Health Network (Laurinburg, NC), Columbus Regional Health Network (Whiteville, NC) and Carolinas Physicians Network Inc (Albemarle, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Gilliam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Gilliam accept?

Health plans from Cigna Healthcare list Michael Gilliam 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 Michael Gilliam affiliated with any hospitals?

According to CMS data, Michael Gilliam is affiliated with Scotland Memorial Hospital and Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Michael Gilliam was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.