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NATHAN DUANE GILMORE OD
NPI 1902245202
Optometrist in Norton Shores, MI

Active since June 19, 2013PECOS EnrolledAccepts Medicare Assignment
74.46/100
CMS Quality Rating
951 SEMINOLE RD, NORTON SHORES, MI 49441(231) 780-4700(231) 780-4722 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2020, Oct 23, 2017 (2 updates tracked since 2017).

About Nathan Duane Gilmore Od NPPES

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

NATHAN DUANE GILMORE OD (NPI 1902245202) is an individual optometrist in Norton Shores, Michigan, licensed in Michigan (4901004757) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (2013).

NPPES Registry Identity

NPI1902245202
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameNATHAN DUANE GILMORECredential: OD
Location Address951 SEMINOLE RDNorton Shores, MI 49441-4341
Mailing Address625 E Savidge StSpring Lake, MI 49456-1956 · (616) 844-5650 · Fax (616) 844-5696
Phone(231) 780-4700
Fax(231) 780-4722
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 2013
Enumeration DateJune 19, 2013
Last NPPES UpdateOctober 12, 20202 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
✔ NPI 1902245202 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 MI · 4901004757
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.
951 SEMINOLE RD, Norton Shores, MI 49441
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Nathan Duane Gilmore Od 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 ID8729221130
PECOS Enrollment IDI20130904000952
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 4

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 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.
88 services88 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
39 services39 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.
37 services32 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
20 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49441 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

74.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.49
Promoting Interoperability100
Improvement Activities40
Cost16.37

Other Providers at the Same Location NPPES 5

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

GARRISON JAMES FARR O.D.
Optometrist
951 SEMINOLE RD
NORTON SHORES, MI 49441
Muskegon County (231) 780-4700
DR. BENJAMIN JAMES SIKKENGA OD
Optometrist
951 SEMINOLE RD
NORTON SHORES, MI 49441
Muskegon County (231) 780-4700
DR. JULIA TOTTEN OD
Optometrist
951 SEMINOLE RD
NORTON SHORES, MI 49441
Muskegon County (231) 780-4700
LAKESHORE PROFESSIONAL EYECARE PC
Optometrist
951 SEMINOLE RD, SUITE 1
NORTON SHORES, MI 49441
Muskegon County (231) 780-4700
DR. DOUGLAS LEON TOTTEN O.D.
Optometrist
951 SEMINOLE RD
NORTON SHORES, MI 49441
Muskegon County (231) 780-4700

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 Nathan Gilmore's NPI number?

The NPI number for Nathan Gilmore is 1902245202. It was assigned to this individual provider in the NPPES registry on June 19, 2013.

Where is Nathan Gilmore located?

Nathan Gilmore practices at 951 Seminole Rd, Norton Shores, MI 49441. The listed phone number is (231) 780-4700.

What is Nathan Gilmore's specialty?

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

Is Nathan Gilmore enrolled in Medicare?

Yes. Nathan 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 Nathan Gilmore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 7 other insurers list Nathan 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 Nathan Gilmore was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.