Nathan Gilmore, MD
NPI 1275725897 · Emergency Medical Services (Emergency Medicine) Physician · Dana Point, CA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nathan Gilmore, MD is a Emergency Medical Services (Emergency Medicine) Physician provider in Dana Point, CA (NPI 1275725897).
Provider details
- NPI number
- 1275725897
- Entity type
- Individual
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A126324 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
527 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 306 | $231 |
| Critical Care, Each Additional 30 Minutes99292 | 209 | $116 |
| Emergent Insertion of Breathing Tube Into Windpipe Using an Endoscope31500 | 12 | $150 |
Typical Medicare-allowed amounts for these services range $116–$231 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$11,762 across 12 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
Registry dates
- Enumerated
- 2007-08-16
- Last updated
- 2024-12-11
- Certified
- 2024-12-11
Frequently asked questions
- What is Nathan Gilmore's NPI number?
- Nathan Gilmore's National Provider Identifier (NPI) is 1275725897, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nathan Gilmore's specialty?
- Nathan Gilmore is listed in the NPPES registry with a primary specialty of Emergency Medical Services (Emergency Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Nathan Gilmore located?
- Nathan Gilmore's practice location on file with NPPES is 35410 Del Rey, Dana Point, CA 92624-1814.
- What is Nathan Gilmore's phone number?
- The practice phone number listed in the NPPES registry for Nathan Gilmore is (801) 330-9242.
- Does Nathan Gilmore accept Medicare?
- Nathan Gilmore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nathan Gilmore's NPI active?
- Yes — Nathan Gilmore's NPI (1275725897) is active in the NPPES registry as of the last update on 2024-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.