Gillum Facial Plastic Surgery, PC
NPI 1063563617 · Specialist · Marion, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gillum Facial Plastic Surgery, PC is a Specialist organization in Marion, IN (NPI 1063563617).
Provider details
- NPI number
- 1063563617
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Timothy Gillum, Owner(765) 651-4278
- License
- 0155912A (IN)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Gillum Facial Plastic Surgery, PC's NPI number?
- Gillum Facial Plastic Surgery, PC's National Provider Identifier (NPI) is 1063563617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gillum Facial Plastic Surgery, PC?
- Gillum Facial Plastic Surgery, PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Gillum Facial Plastic Surgery, PC located?
- Gillum Facial Plastic Surgery, PC's practice location on file with NPPES is 330 N Wabash Ave, Marion, IN 46952-2600.
- What is Gillum Facial Plastic Surgery, PC's phone number?
- The practice phone number listed in the NPPES registry for Gillum Facial Plastic Surgery, PC is (765) 651-4278.
- Does Gillum Facial Plastic Surgery, PC accept Medicare?
- Gillum Facial Plastic Surgery, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gillum Facial Plastic Surgery, PC?
- The authorized official listed on Gillum Facial Plastic Surgery, PC's NPPES record is Timothy Gillum, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gillum Facial Plastic Surgery, PC's NPI active?
- Yes — Gillum Facial Plastic Surgery, PC's NPI (1063563617) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.