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

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: August 09, 2026.

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
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

Other Identifiers 2

Medicare PINGINP21492
Medicaid2840126OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

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

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 Interoperability100
Improvement Activities40

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.

Psychiatry & Neurology (Psychiatry)
6728 LOOP RD, SUITE 201
CENTERVILLE FINANCE, OH 45459
Psychologist (Clinical)
6728 LOOP RD, BUILDIING 5 - SUITE 204
CENTERVILLE FINANCE, OH 45459
Surgery (Plastic and Reconstructive Surgery)
6728 LOOP RD, BLDG 5, SUITE 301
DAYTON, OH 45459
Plastic Surgery
6728 LOOP RD, BLDG. 5, SUITE 301
CENTERVILLE, OH 45459
Plastic Surgery
6728 LOOP RD, BLDG. 5, SUITE 301
CENTERVILLE, OH 45459
Nurse Practitioner
6728 LOOP RD, BLDG 5, SUITE 301
CENTERVILLE, OH 45459

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.

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.