JOHN H GILMORE JR. MD
NPI 1922197094
Psychiatry & Neurology - Psychiatry in Chapel Hill, NC

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
101 MANNING DR, CHAPEL HILL, NC 27599(919) 966-8596(919) 843-5515 Get Directions Write a Review

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

About John H Gilmore Jr. Md NPPES

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

JOHN H GILMORE JR. MD (NPI 1922197094) is an individual psychiatry provider in Chapel Hill, North Carolina and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1985).

NPPES Registry Identity

NPI1922197094
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJOHN H GILMORE JR.Credential: MD
Location Address101 MANNING DRChapel Hill, NC 27599-0001
Mailing Address143 W Franklin StChapel Hill, NC 27516-2539 · (919) 966-8596 · Fax (919) 843-5515
Fax(919) 843-5515
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1985
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1922197094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
101 MANNING DR, Chapel Hill, NC 27599

Other Identifiers 3

Medicaid8935602NC
Medicare UPINE49988NC
Medicare ID-Type Unspecified2150978NC

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

John H Gilmore Jr. 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 ID4082743836
PECOS Enrollment IDI20100603000718
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 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.
82 services34 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
47 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services15 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.
15 services12 patients

Hospital Affiliations CMS Care Compare

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27599 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 20

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

Physical Therapist
101 MANNING DR
CHAPEL HILL, NC 27599
Psychiatry & Neurology (Psychiatry)
101 MANNING DR
CHAPEL HILL, NC 27599
Orthopaedic Surgery
101 MANNING DR
CHAPEL HILL, NC 27599
Internal Medicine (Cardiovascular Disease)
101 MANNING DR
CHAPEL HILL, NC 27599
Internal Medicine (Cardiovascular Disease)
101 MANNING DR
CHAPEL HILL, ND 27599
Pathology (Clinical Pathology/Laboratory Medicine)
101 MANNING DR
CHAPEL HILL, NC 27599
Psychologist (Clinical)
101 MANNING DR
CHAPEL HILL, NC 27599
Nurse Anesthetist, Certified Registered
101 MANNING DR
CHAPEL HILL, NC 27599

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 John Gilmore's NPI number?

The NPI number for John Gilmore is 1922197094. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is John Gilmore located?

John Gilmore practices at 101 Manning Dr, Chapel Hill, NC 27599. The listed phone number is (919) 966-8596.

What is John Gilmore's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is John Gilmore enrolled in Medicare?

Yes. John 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 John Gilmore accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list John 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.

Is John Gilmore affiliated with any hospitals?

According to CMS data, John Gilmore is affiliated with Unc Hospitals.

When was this NPI record last updated?

The NPPES record for John Gilmore 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.