KATHERINE S GILMORE CNP
NPI 1821029489
Nurse Practitioner in Centerville, OH

Q: What is Katherine Gilmore's NPI number?

The NPI number for Katherine Gilmore is 1821029489. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Katherine Gilmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Gilmore was last updated on February 24, 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.

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

6728 LOOP RD, BLDG 5, SUITE 301, CENTERVILLE, OH 45459(937) 438-5333(937) 438-0160 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Katherine S Gilmore Cnp NPPES

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

KATHERINE S GILMORE CNP (NPI 1821029489) is an individual nurse practitioner in Centerville, Ohio, licensed in Ohio (NP07362) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (2003).

NPPES Registry Identity

NPI1821029489

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKATHERINE S GILMORECredential: CNP

Location Address6728 LOOP RD, BLDG 5, SUITE 301Centerville, OH 45459-2196

Mailing Address6728 Loop Rd, Bldg 5, Suite 301Centerville, OH 45459-2196 · (937) 438-5333 · Fax (937) 438-0160

Phone(937) 438-5333

Fax(937) 438-0160

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2003

Enumeration DateJuly 5, 2006

Last NPPES UpdateFebruary 24, 2015

✔ NPI 1821029489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · NP07362

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

6728 LOOP RD, Centerville, OH 45459

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Other Identifiers 2

Medicare PINGINP21492

Medicaid2840126OH

Accepted Insurance

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

Katherine S Gilmore Cnp 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 ID3779588371

PECOS Enrollment IDI20061003000177

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 Katherine Gilmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dermatologists Of Southwestern Ohio, LLC.

1.8 mi

Dermatology

5300 FAR HILLS AVE
Dayton, OH 45429

Reassigned Medicare billing, Ohio enrollment
85 clinicians in this Medicare group

NPI 1801819883 (937) 433-7536

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 15

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,785 services274 patients

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.

965 services654 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

566 services357 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

244 services218 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

209 services192 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

143 services24 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

140 services140 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.

139 services124 patients

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.

87 services73 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

64 services64 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

48 services38 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

44 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

15 services13 patients

Biopsy of ear 69100

A biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.

14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 6

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

DONG S. MOON,M.D.,INC.

Psychiatry & Neurology (Psychiatry)

6728 LOOP RD, SUITE 201
CENTERVILLE FINANCE, OH 45459

Montgomery County (937) 434-6131

DR. LINDA WHITLEY REED PHD

Psychologist (Clinical)

6728 LOOP RD, BUILDIING 5 - SUITE 204
CENTERVILLE FINANCE, OH 45459

Montgomery County (937) 433-5601

MR. CHRISTOPHER ANDREW REEDER DO

Surgery (Plastic and Reconstructive Surgery)

6728 LOOP RD, BLDG 5, SUITE 301
DAYTON, OH 45459

Montgomery County (937) 438-5333

PREMIER PLASTIC SURGERY AND DERMATOLOGY ASSOCIATES, LTD

Plastic Surgery

6728 LOOP RD, BLDG. 5, SUITE 301
CENTERVILLE, OH 45459

Montgomery County (937) 438-5333

CHRISTOPHER REEDER & ASSOCIATES PLASTIC SURGERY LLC

Plastic Surgery

6728 LOOP RD, BLDG. 5, SUITE 301
CENTERVILLE, OH 45459

Montgomery County (937) 438-5333

DARLENE S BISGAARD CNP

Nurse Practitioner

6728 LOOP RD, BLDG 5, SUITE 301
CENTERVILLE, OH 45459

Montgomery County (937) 448-5333

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 Katherine Gilmore's NPI number?

The NPI number for Katherine Gilmore is 1821029489. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Katherine Gilmore located?

Katherine Gilmore practices at 6728 Loop Rd Bldg 5, Suite 301, Centerville, OH 45459. The listed phone number is (937) 438-5333.

What is Katherine Gilmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Katherine Gilmore enrolled in Medicare?

Yes. Katherine 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 Katherine Gilmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Gilmore reassigns Medicare benefits to Dermatologists Of Southwestern Ohio, LLC. (Dayton, OH). 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 Katherine Gilmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Gilmore accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Katherine 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 Katherine Gilmore was last updated on February 24, 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.