GARY R MARGOLIES M.D.
NPI 1982649257
Internal Medicine - Rheumatology in Nashville, TN

Q: What is Gary Margolies's NPI number?

The NPI number for Gary Margolies is 1982649257. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Q: What is Gary Margolies's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Gary Margolies was last updated on February 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment

300 20TH AVE N, 9TH FLOOR, NASHVILLE, TN 37203(615) 284-1400(615) 284-1693 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Gary R Margolies M.d. NPPES

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

GARY R MARGOLIES M.D. (NPI 1982649257) is an individual rheumatology provider in Nashville, Tennessee, licensed in Tennessee (21326) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Un Of California, Irvine, College Of Medicine (1987).

NPPES Registry Identity

NPI1982649257

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameGARY R MARGOLIESCredential: M.D.

Location Address300 20TH AVE N, 9TH FLOORNashville, TN 37203-2131

Mailing Address300 20th Ave N, 9th FloorNashville, TN 37203-2131 · (615) 284-1400 · Fax (615) 284-1693

Phone(615) 284-1400

Fax(615) 284-1693

Sole ProprietorNo

Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 1987

Enumeration DateJune 19, 2006

Last NPPES UpdateFebruary 6, 2015

✔ NPI 1982649257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Licenses✔ Licensed in TN · 21326✔ Licensed in KY · 30405

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License 30405 (KY)

300 20TH AVE N, Nashville, TN 37203

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Other Identifiers 10

Other022092900KY · Black Lung Insurance

Medicaid64304058KY

Other000000047065KY · Blue Cross & Blue Shield

Other4603211KY · Aetna Insurance Company

Medicare UPINE89674KY

Medicare PIN3937KY

Medicare PIN0214516

Medicare PINP400031966KY

Other1283881KY · United Mine Workers Assoc

Other110128892KY · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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

Gary R Margolies M.d. 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 ID7315134863

PECOS Enrollment IDI20150327001173

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 3

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.

99 services62 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.

60 services46 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

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.

W GARRISON STRICKLAND MD, PC

Psychiatry & Neurology (Neurology)

300 20TH AVE N, SUITE 600
NASHVILLE, TN 37203

Davidson County (615) 284-2214

LINDSAY ANN HOOSE MSN NP

Nurse Practitioner

300 20TH AVE N, SUITE G4
NASHVILLE, TN 37203

Davidson County (615) 284-5098

LINDA K ELROD PA

Physician Assistant

300 20TH AVE N, 7TH FLOOR
NASHVILLE, TN 37203

Davidson County (615) 284-1400

UAP NASHVILLE ENDOSCOPY, LLC

Anesthesiology

300 20TH AVE N
NASHVILLE, TN 37203

Davidson County (615) 284-1335

DR. JAN LEWIS BRANDES MD

Specialist

300 20TH AVE N, SUITE 106
NASHVILLE, TN 37203

Davidson County (615) 284-4680

TAMMY S JACKSON NP

Nurse Practitioner

300 20TH AVE N, STE 301
NASHVILLE, TN 37203

Davidson County (615) 329-0570

DR. JAMES BREVARD HAYNES MD

Internal Medicine (Sleep Medicine)

300 20TH AVE N, SUITE G-8
NASHVILLE, TN 37203

Davidson County (615) 284-7533

STEPHEN J HEYMAN MD

Internal Medicine (Pulmonary Disease)

300 20TH AVE N, 9TH FLOOR
NASHVILLE, TN 37203

Davidson County (615) 284-1400

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 Gary Margolies's NPI number?

The NPI number for Gary Margolies is 1982649257. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Gary Margolies located?

Gary Margolies practices at 300 20th Ave N 9th Floor, Nashville, TN 37203. The listed phone number is (615) 284-1400.

What is Gary Margolies's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Gary Margolies enrolled in Medicare?

Yes. Gary Margolies 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 Gary Margolies accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Gary Margolies 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 Gary Margolies was last updated on February 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.