Dr Carl Jan Gilmore, MD - Medicare Orthopedic Surgery in Albuquerque, NM

Dr Carl Jan Gilmore, MD is a medicare enrolled "Orthopaedic Surgery" physician in Albuquerque, New Mexico. He went to University Of New Mexico School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Legacy Healthcare Services Inc, New Mexico Orthopaedic Associates Pc and his current practice location is Msc08 4770, 1 University Of New Mexico, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 272-6472.

Dr Carl Jan Gilmore is licensed to practice in New Mexico (license number RS20070318) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003012493.

Contact Information

Dr Carl Jan Gilmore, MD
Msc08 4770, 1 University Of New Mexico,
Albuquerque, NM 87131-0001
(505) 272-6472
Not Available

Map and Direction




Physician's Profile

Full NameDr Carl Jan Gilmore
GenderMale
SpecialityOrthopedic Surgery
Experience17 Years
LocationMsc08 4770, Albuquerque, New Mexico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Carl Jan Gilmore attended and graduated from University Of New Mexico School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1003012493
  • Provider Enumeration Date: 06/22/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8820237191
  • Enrollment ID: I20130617000590

Medical Identifiers

Medical identifiers for Dr Carl Jan Gilmore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003012493NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery RS20070318 (New Mexico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Presbyterian HospitalAlbuquerque, NMHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Healthcare Services Inc21633397222654
New Mexico Orthopaedic Associates Pc175927071365

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Carl Jan Gilmore allows following entities to bill medicare on his behalf.
Entity NamePresbyterian Healthcare Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104802354
PECOS PAC ID: 9234041708
Enrollment ID: O20031103000603
Entity NameNew Mexico Orthopaedic Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407898299
PECOS PAC ID: 1759270713
Enrollment ID: O20040315001250

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carl Jan Gilmore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Carl Jan Gilmore, MD
7464 Sidewinder Dr Ne,
Albuquerque, NM 87113-1298

Ph: (505) 341-3333
Dr Carl Jan Gilmore, MD
Msc08 4770, 1 University Of New Mexico,
Albuquerque, NM 87131-0001

Ph: (505) 272-6472

Reviews and Comments


Orthopaedic Surgery Doctors in Albuquerque, NM

Shelby Edward Jarrell Iii, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106
Phone: 505-724-4300    Fax: 505-724-4384
Dr. Joseph F Hollinger, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 700 Lomas Ne One Woodward Center, Albuquerque, NM 87102
Phone: 505-242-2500    Fax: 505-242-7391
Clayton B Conrad, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106
Phone: 505-724-4300    Fax: 505-724-4384
Dr. Douglas George Orndorff, M.D
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Louisiana Blvd Ne Ste 410, Albuquerque, NM 87110
Phone: 505-724-4300    Fax: 505-724-4384
Dr. Samer Kakish, FRCS(TR & ORTH), MSC
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1 University Of New Mexico, Department Of Orthopaedics, Albuquerque, NM 87131
Phone: 505-272-4107    Fax: 505-272-8098
Kari M Babinski, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106
Phone: 505-724-4300    Fax: 505-724-4384

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.