Nathan Thomas Gilmore, MD - Medicare Emergency Medicine in Dana Point, CA

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Nathan Thomas Gilmore, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Dana Point, California. He went to University Of Utah School Of Medicine and graduated in 2007 and has 18 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Newport Critical Care Physicians Medical Group Inc and his current practice location is 35410 Del Rey, Dana Point, California. You can reach out to his office (for appointments etc.) via phone at (801) 330-9242.

Nathan Thomas Gilmore is licensed to practice in California (license number A126324) 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 1275725897.

Contact Information

Nathan Thomas Gilmore, MD
35410 Del Rey,
Dana Point, CA 92624-1814
(801) 330-9242
Not Available

Map and Direction




Physician's Profile

Full NameNathan Thomas Gilmore
GenderMale
SpecialityEmergency Medicine
Experience18 Years
Location35410 Del Rey, Dana Point, California
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:
  • Nathan Thomas Gilmore attended and graduated from University Of Utah School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1275725897
  • Provider Enumeration Date: 08/16/2007
  • Last Update Date: 12/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1658410386
  • Enrollment ID: I20130823000014

Medical Identifiers

Medical identifiers for Nathan Thomas Gilmore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275725897NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services A126324 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hoag Memorial Hospital PresbyterianNewport beach, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Newport Critical Care Physicians Medical Group Inc105222368214

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. Nathan Thomas Gilmore allows following entities to bill medicare on his behalf.
Entity NameNewport Critical Care Physicians Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740220482
PECOS PAC ID: 1052223682
Enrollment ID: O20031103000424
Entity NameMission Viejo Emergency Medical Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134355597
PECOS PAC ID: 7315090271
Enrollment ID: O20090725000046
Entity NameMedicus Optimus Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073320354
PECOS PAC ID: 0749719342
Enrollment ID: O20250128001641

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. Nathan Thomas 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
Nathan Thomas Gilmore, MD
1 Hoag Dr,
Newport Beach, CA 92663-4162

Ph: (801) 330-9242		Nathan Thomas Gilmore, MD
35410 Del Rey,
Dana Point, CA 92624-1814

Ph: (801) 330-9242

Reviews and Comments


Emergency Medicine Doctors in Dana Point, CA


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.