GILMAN PETERSON III DMD MD
NPI 1871756924
Dentist - Oral and Maxillofacial Surgery in Winchester, KY

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
1303 W LEXINGTON AVE, WINCHESTER, KY 40391(859) 744-0677 Get Directions Write a Review

NPPES record last updated: March 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gilman Peterson Iii Dmd Md NPPES

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

GILMAN PETERSON III DMD MD (NPI 1871756924) is an individual oral and maxillofacial surgery provider in Winchester, Kentucky, licensed in Kentucky (7976) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (2007).

NPPES Registry Identity

NPI1871756924
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameGILMAN PETERSON IIICredential: DMD MD
Location Address1303 W LEXINGTON AVEWinchester, KY 40391-3100
Mailing Address25 E High StMt Sterling, KY 40353-1267 · (859) 498-6204
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2007
Enumeration DateJuly 9, 2008
Last NPPES UpdateMarch 9, 2011
NPI 1871756924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in KY · 7976
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 7976 (KY)
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 7976 (KY)
1303 W LEXINGTON AVE, Winchester, KY 40391

Other Identifiers 4

Medicaid7100071380KY
Medicare PINP400036996KY
Medicaid7100067490KY
Medicare PIN0605807KY

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

Gilman Peterson Iii Dmd 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 ID5890847388
PECOS Enrollment IDI20090714000561
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40391 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 6

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

Dentist
1303 W LEXINGTON AVE
WINCHESTER, KY 40391
Dentist
1303 W LEXINGTON AVE
WINCHESTER, KY 40391
Dentist (Oral and Maxillofacial Surgery)
1303 W LEXINGTON AVE
WINCHESTER, KY 40391
Dentist (General Practice)
1303 W LEXINGTON AVE, SUITE A
WINCHESTER, KY 40391
Dentist (Oral and Maxillofacial Surgery)
1303 W LEXINGTON AVE
WINCHESTER, KY 40391
Dentist
1303 W LEXINGTON AVE, STE A
WINCHESTER, KY 40391

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 Gilman Peterson's NPI number?

The NPI number for Gilman Peterson is 1871756924. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Gilman Peterson located?

Gilman Peterson practices at 1303 W Lexington Ave, Winchester, KY 40391. The listed phone number is (859) 744-0677.

What is Gilman Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Gilman Peterson enrolled in Medicare?

Yes. Gilman Peterson 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 Gilman Peterson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 11 other insurers list Gilman Peterson 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 Gilman Peterson was last updated on March 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.