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DR. VIRGINIA GILMORE O.D.
NPI 1821000258
Optometrist in Bangor, ME

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
663 STILLWATER AVE, BANGOR, ME 04401(207) 262-7192 Get Directions Write a Review

NPPES record last updated: September 27, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Virginia Gilmore O.d. NPPES

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

DR. VIRGINIA GILMORE O.D. (NPI 1821000258) is an individual optometrist in Bangor, Maine, licensed in Maine (OPT869) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1821000258
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. VIRGINIA GILMORECredential: O.D.
Location Address663 STILLWATER AVEBangor, ME 04401-3642
Mailing AddressPo Box 421Winterport, ME 04496-0421 · (207) 223-5555
Phone(207) 262-7192
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 13, 2006
Last NPPES UpdateSeptember 27, 2012
✔ NPI 1821000258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ME · OPT869
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
663 STILLWATER AVE, Bangor, ME 04401
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedME0451ME
Medicare UPINU76322ME
Other022304ME · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana 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

Dr. Virginia Gilmore O.d. 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 ID7911991153
PECOS Enrollment IDI20040412000967
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 Reassignment

Medicare enrollment records show Virginia Gilmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

John C. Hersey Od, PC
6.1 mi
Optometrist
2350 ROUTE 2
Hermon, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 3 clinicians in this Medicare group
NPI 1770887002 (207) 223-5555

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 5

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
92 services92 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
70 services70 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
37 services30 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
30 services29 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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 4

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

LUXOTTICA OF AMERICA INC.
Eyewear Supplier
663 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 262-8730
BANGOR MALL EYE ASSOCIATION
Optometrist
663 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 262-7192
BRAD & MARY, INC.
Durable Medical Equipment & Medical Supplies
663 STILLWATER AVE, BANGOR MALL UNIT 48
BANGOR, ME 04401
Penobscot County (207) 947-6591
MAINELY EYES
Eyewear Supplier
663 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 945-3937

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 Virginia Gilmore's NPI number?

The NPI number for Virginia Gilmore is 1821000258. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Virginia Gilmore located?

Virginia Gilmore practices at 663 Stillwater Ave, Bangor, ME 04401. The listed phone number is (207) 262-7192.

What is Virginia Gilmore's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Virginia Gilmore enrolled in Medicare?

Yes. Virginia 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.

Which organization bills Medicare for Virginia Gilmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Virginia Gilmore reassigns Medicare benefits to John C. Hersey Od, PC (Hermon, ME). The 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 Virginia Gilmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Virginia Gilmore accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 2 other insurers list Virginia 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 Virginia Gilmore was last updated on September 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.