Karen Gilson, M.D.
NPI 1104813211 · Family Medicine Physician · Sewanee, TN
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Gilson, M.D. is a Family Medicine Physician provider in Sewanee, TN (NPI 1104813211).
Provider details
- NPI number
- 1104813211
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 060733 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
247 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 116 | $161 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 48 | $111 |
| Hemoglobin A1c Level83036 | 21 | $9 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 17 | $32 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 17 | $118 |
| Blood Glucose (sugar) Test Performed By Hand-Held Instrument82962 | 16 | $3 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 19 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tirzepatidebrand: Mounjaro | 83 | 17 |
| Pioglitazone Hcl | 69 | 21 |
| Atorvastatin Calcium | 23 | — |
| Levothyroxine Sodium | 21 | — |
| Varicella-Zoster Ge/As01b/Pfbrand: Shingrix | 19 | 15 |
| Diclofenac Sodium | 17 | — |
| Ondansetronbrand: Ondansetron Odt |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$914 across 43 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 6120 Alabama HwyRinggold, GA 30736-2804Phone: (706) 935-6442Fax: (706) 935-6445
- 5616 Brainerd Rd Ste 208Chattanooga, TN 37411-5376Phone: (423) 265-3561Fax: (423) 265-1364
Registry dates
- Enumerated
- 2005-10-04
- Last updated
- 2019-11-07
Frequently asked questions
- What is Karen Gilson's NPI number?
- Karen Gilson's National Provider Identifier (NPI) is 1104813211, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Gilson's specialty?
- Karen Gilson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Karen Gilson located?
- Karen Gilson's practice location on file with NPPES is 1260 University Ave, Sewanee, TN 37375.
- What is Karen Gilson's phone number?
- The practice phone number listed in the NPPES registry for Karen Gilson is (931) 598-4141.
- Does Karen Gilson accept Medicare?
- Karen Gilson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Gilson's NPI active?
- Yes — Karen Gilson's NPI (1104813211) is active in the NPPES registry as of the last update on 2019-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.