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MATTHEW THOMAS GILMOUR LCSW
NPI 1801280300
Social Worker - Clinical in New Smyrna Beach, FL

Active since March 23, 2015PECOS EnrolledAccepts Medicare Assignment
311 N ORANGE ST, NEW SMYRNA BEACH, FL 32168(386) 254-1283(386) 254-1130 Get Directions Write a Review

NPPES record last updated: March 23, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Matthew Thomas Gilmour Lcsw NPPES

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

MATTHEW THOMAS GILMOUR LCSW (NPI 1801280300) is an individual clinical provider in New Smyrna Beach, Florida, licensed in Florida (SW11653) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1801280300
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMATTHEW THOMAS GILMOURCredential: LCSW
Location Address311 N ORANGE STNew Smyrna Beach, FL 32168-6733
Mailing Address311 N Orange StNew Smyrna Beach, FL 32168-6733 · (386) 254-1283 · Fax (386) 254-1130
Phone(386) 254-1283
Fax(386) 254-1130
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 23, 2015
✔ NPI 1801280300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW11653
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
311 N ORANGE ST, New Smyrna Beach, FL 32168
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Capital Health Plan, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.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

Matthew Thomas Gilmour Lcsw 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 ID6204155765
PECOS Enrollment IDI20150505000864
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

2

Medicare enrollment records show Matthew Gilmour reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tallahassee Memorial Healthcare Inc
178 mi
Internal Medicine
555 NORTH BYRON BUTLER PARKWAY, TMH PHYSICIAN PARTNERS, PERRY
Perry, FL 32348
  • Reassigned Medicare billing, Florida enrollment
  • 654 clinicians in this Medicare group
NPI 1558681684 (850) 838-8636
Chrysalis Center, LLC
205 mi
Community/Behavioral Health
3800 W BROWARD BLVD STE 100
Fort Lauderdale, FL 33312
  • Reassigned Medicare billing, Florida enrollment
  • 64 clinicians in this Medicare group
NPI 1700961646 (954) 587-1008

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32168 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
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 20

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

LUKE RODRIGUEZ
Behavior Technician
311 N ORANGE ST
NEW SMYRNA BEACH, FL 32168
Volusia County (306) 402-4460
STEPHANIE H BURKE
Behavior Analyst
311 N ORANGE ST
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 402-4460
KIMBERLY PRIETO RBT
Behavior Technician
311 N ORANGE ST
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 402-4460
ERICA N CANEY
Behavior Technician
311 N ORANGE ST
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 402-4460
ROSA ZIDELIS M.D.
Specialist
311 N ORANGE ST
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 416-1023
SKYLUR E SPALDING
Behavior Analyst
311 N ORANGE ST
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 402-4460
GLORIA J COSLOW RBT
Behavior Technician
311 N ORANGE ST
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 402-4460
ROBERT BROC OBNER
Behavior Analyst
311 N ORANGE ST
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 402-4460

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 Matthew Gilmour's NPI number?

The NPI number for Matthew Gilmour is 1801280300. It was assigned to this individual provider in the NPPES registry on March 23, 2015.

Where is Matthew Gilmour located?

Matthew Gilmour practices at 311 N Orange St, New Smyrna Beach, FL 32168. The listed phone number is (386) 254-1283.

What is Matthew Gilmour's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Matthew Gilmour enrolled in Medicare?

Yes. Matthew Gilmour 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 Matthew Gilmour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Gilmour reassigns Medicare benefits to 2 organizations: Tallahassee Memorial Healthcare Inc (Perry, FL) and Chrysalis Center, LLC (Fort Lauderdale, FL). 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 Matthew Gilmour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Gilmour accept?

Health plans from Capital Health Plan, Cigna HealthCare of Florida, Inc., Cigna Healthcare and UnitedHealthcare list Matthew Gilmour 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 Matthew Gilmour was last updated on March 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.