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JAMES CLIFFORD GILLEY DPM
NPI 1881602787
Podiatrist in Knoxville, TN

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
939 E EMERALD AVE, SUITE 706, KNOXVILLE, TN 37917(865) 523-5655(865) 523-4882 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Clifford Gilley Dpm NPPES

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

JAMES CLIFFORD GILLEY DPM (NPI 1881602787) is an individual podiatrist in Knoxville, Tennessee, licensed in Tennessee (DPM0000000629) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with North Hawaii Community Hospital, Inc, and is a graduate of Barry University School Of Podiatric Medicine (2001).

NPPES Registry Identity

NPI1881602787
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameJAMES CLIFFORD GILLEYCredential: DPM
Location Address939 E EMERALD AVE, SUITE 706Knoxville, TN 37917
Mailing Address939 E Emerald Ave, Suite 706Knoxville, TN 37917 · (865) 523-5655 · Fax (865) 523-4882
Phone(865) 523-5655
Fax(865) 523-4882
Sole ProprietorNo
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2001
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1881602787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in TN · DPM0000000629
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
939 E EMERALD AVE, Knoxville, TN 37917
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified3714132
Medicare UPINV00568

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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

James Clifford Gilley Dpm 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 ID2365414125
PECOS Enrollment IDI20170130001666
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 11

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 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.
314 services111 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.
296 services124 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
232 services88 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.
160 services99 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.
73 services12 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.
67 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Hawaii Community Hospital, Inc

Acute Care Hospitals · Kamuela, HI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120028
Location67 1125 Mamalahoa HighwayKamuela, HI 96743 · Hawaii County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37917 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 9

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

THOMAS R TRAYLOR MD
Obstetrics & Gynecology
939 E EMERALD AVE, STE 901
KNOXVILLE, TN 37917
Knox County (865) 546-9623
THOMAS C WHITTAKER DDS
Oral & Maxillofacial Surgery
939 E EMERALD AVE, STE 501
KNOXVILLE, TN 37917
Knox County (865) 522-6885
DAVID G SANDBERG DPM
Podiatrist
939 E EMERALD AVE, SUITE 706
KNOXVILLE, TN 37917
Knox County (865) 523-5655
DERMATOLOGY ASSOCIATES OF KNOXVILLE, PC
Dermatology
939 E EMERALD AVE, SUITE 705
KNOXVILLE, TN 37917
Knox County (865) 524-2547
ROBERT CHRISTOPHER HANCOCK DPM
Podiatrist
939 E EMERALD AVE, SUITE 706
KNOXVILLE, TN 37917
Knox County (865) 523-5655
HEATHER W SANDBERG DPM
Podiatrist
939 E EMERALD AVE, SUITE 706
KNOXVILLE, TN 37917
Knox County (865) 523-5655
KIMBERLY SUE BOLTON PHD, WHCNP
Religious Nonmedical Nursing Personnel
939 E EMERALD AVE, SUITE 801
KNOXVILLE, TN 37917
Knox County (865) 546-6721
DR. DAWN W NICHOLS MD
Pathology (Anatomic Pathology & Clinical Pathology)
939 E EMERALD AVE, SUITE 705
KNOXVILLE, TN 37917
Knox County (865) 524-2547

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 James Gilley's NPI number?

The NPI number for James Gilley is 1881602787. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is James Gilley located?

James Gilley practices at 939 E Emerald Ave Suite 706, Knoxville, TN 37917. The listed phone number is (865) 523-5655.

What is James Gilley's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is James Gilley enrolled in Medicare?

Yes. James Gilley 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 James Gilley accept?

Health plans from HMSA list James Gilley 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.

Is James Gilley affiliated with any hospitals?

According to CMS data, James Gilley is affiliated with North Hawaii Community Hospital, Inc.

When was this NPI record last updated?

The NPPES record for James Gilley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.