DR. JAMES M GILL MD
NPI 1982689212
Family Medicine in Wilmington, DE

Active since December 09, 2005PECOS EnrolledAccepts Medicare Assignment
213 GREENHILL AVE, SUITE B, WILMINGTON, DE 19805(302) 429-5870(302) 429-9284 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James M Gill Md NPPES

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

DR. JAMES M GILL MD (NPI 1982689212) is an individual family medicine provider in Wilmington, Delaware, licensed in Delaware (C10003368) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1988).

NPPES Registry Identity

NPI1982689212
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES M GILLCredential: MD
Location Address213 GREENHILL AVE, SUITE BWilmington, DE 19805-1844
Mailing Address213 Greenhill Ave, Suite BWilmington, DE 19805-1844 · (302) 429-5870 · Fax (302) 429-9284
Fax(302) 429-9284
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1988
Enumeration DateDecember 9, 2005
Last NPPES UpdateAugust 30, 2012
NPI 1982689212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in DE · C10003368
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
213 GREENHILL AVE, Wilmington, DE 19805

Other Identifiers 1

Medicare UPINE52205DE

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

Dr. James M Gill 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 ID5496769838
PECOS Enrollment IDI20060206000536
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 32

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,261 services419 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.
686 services419 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
655 services238 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.
616 services350 patients
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
368 services104 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
222 services104 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19805 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers14 claims84 services$1.25 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims2,660 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier11 claims11 services$26.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Optometrist
213 GREENHILL AVE, SUITE A
WILMINGTON, DE 19805
Physical Therapist
213 GREENHILL AVE, STE C
WILMINGTON, DE 19805
Specialist/Technologist (Athletic Trainer)
213 GREENHILL AVE
WILMINGTON, DE 19805
Physical Therapist
213 GREENHILL AVE, SUITE C
WILMINGTON, DE 19805
Family Medicine
213 GREENHILL AVE, SUITE B
WILMINGTON, DE 19805
Optometrist
213 GREENHILL AVE
WILMINGTON, DE 19805
Optometrist (Corneal and Contact Management)
213 GREENHILL AVE, SUITE A
WILMINGTON, DE 19805
Physical Therapist
213 GREENHILL AVE, STE C
WILMINGTON, DE 19805

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 Gill's NPI number?

The NPI number for James Gill is 1982689212. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is James Gill located?

James Gill practices at 213 Greenhill Ave Suite B, Wilmington, DE 19805. The listed phone number is (302) 429-5870.

What is James Gill's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Gill enrolled in Medicare?

Yes. James Gill 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 Gill accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list James Gill 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 James Gill was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.