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RICHARD S GILLUM D.D.S.
NPI 1962554204
Dentist - General Practice in Greenwood, IN

Active since January 17, 2007Opted out of Medicare · through Sep 1, 2027
1259 N STATE ROAD 135, SUITE E, GREENWOOD, IN 46142(317) 888-7576(317) 888-0047 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard S Gillum D.d.s. NPPES

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

RICHARD S GILLUM D.D.S. (NPI 1962554204) is an individual general practice provider in Greenwood, Indiana, licensed in Indiana (12008573) and active in the NPI registry since January 2007. He has opted out of Medicare through September 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962554204
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRICHARD S GILLUMCredential: D.D.S.
Location Address1259 N STATE ROAD 135, SUITE EGreenwood, IN 46142-1033
Mailing Address1259 N State Road 135, Suite EGreenwood, IN 46142-1033 · (317) 888-7576 · Fax (317) 888-0047
Phone(317) 888-7576
Fax(317) 888-0047
Sole ProprietorYes
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962554204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12008573
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1259 N STATE ROAD 135, Greenwood, IN 46142
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HRI Dental & Vision, Paramount.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Richard S Gillum D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2015 through September 1, 2027.

Opt-Out Effective DateSeptember 1, 2015
Opt-Out In Effect ThroughSeptember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46142 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 2

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

RICHARD S GILLUM INC PC
Dentist
1259 N STATE ROAD 135, SUITE E
GREENWOOD, IN 46142
Johnson County (317) 888-7576
DR. ALLISON STROPES DDS
Dentist
1259 N STATE ROAD 135
GREENWOOD, IN 46142
Johnson County (317) 888-7576

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 Richard Gillum's NPI number?

The NPI number for Richard Gillum is 1962554204. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Richard Gillum located?

Richard Gillum practices at 1259 N State Road 135 Suite E, Greenwood, IN 46142. The listed phone number is (317) 888-7576.

What is Richard Gillum's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Richard Gillum enrolled in Medicare?

No. Richard Gillum has opted out of Medicare through September 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Richard Gillum accept?

Health plans from HRI Dental & Vision and Paramount list Richard Gillum 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 Richard Gillum was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.