ANNE E GILLIS M.D.
NPI 1225006869
General Practice in Maysville, KY
NPI Status: Active since March 09, 2006
Contact Information
927 KENTON STATION DR
MAYSVILLE, KY
ZIP 41056
Phone: (606) 759-0433
Fax: (606) 759-0058
- Individual
- Female
- General Practice
- PECOS Enrolled
- Medicare Quality Reporting
About ANNE GILLIS
This page provides the complete NPI Profile along with additional information for Anne Gillis, a primary care provider established in Maysville, Kentucky with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1225006869 assigned on March 2006. The practitioner's primary taxonomy code is 208D00000X with license number 31454 (KY). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1225006869
- Provider Name
- ANNE E GILLIS M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 927 KENTON STATION DR MAYSVILLE, KY 41056
- Location Phone
- (606) 759-0433
- Location Fax
- (606) 759-0058
- Mailing Address
- PO BOX 550 VANCEBURG, KY 41179
- Mailing Phone
- (606) 796-3029
- Mailing Fax
- (606) 759-0058
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-09-2006
- Last Update Date
- 10-14-2009
- Code Navigator
A primary care provider (PCP) like Anne Gillis sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 31454
- License State
- KY
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | 35087586 (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100059610 | MEDICAID (05) | KY | |
| G37083 | MEDICARE UPIN (02) | KY | |
| 2643429 | MEDICAID (05) | OH | |
| 0055654 | MEDICARE PIN (08) |
Medicare Participation & PECOS Enrollment Status
Anne Gillis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
5 DME suppliers used 15 Medicare Claims 35 Services Paid
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
3 DME suppliers used 22 Medicare Claims 22 Services Paid
DME-Other DME (DE001N)
Continuous positive airway pressure (cpap) device (HCPCS:E0601)
2 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
4 DME suppliers used 25 Medicare Claims 25 Services Paid
DME-Other DME (DE000N)
Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)
2 DME suppliers used 21 Medicare Claims 21 Services Paid
Drugs Administered Through DME
DME-Drugs Administered Through DME (DG006N)
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg (HCPCS:J7613)
2 DME suppliers used 21 Medicare Claims 5629 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Automated urinalysis test
Creatinine level to test for kidney function or muscle injury
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
Hemoglobin a1c level
Urine microalbumin (protein) analysis
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
This service was performed 13 times for 11 patientsA creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
This service was performed 13 times for 13 patientsAn immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
This service was performed 13 times for 13 patientsHemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
This service was performed 54 times for 35 patientsUrine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.
This service was performed 13 times for 13 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 49% | 349 |
| Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
| Care Plan | 89% | 278 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Colorectal Cancer Screening | 34% | 562 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Diabetes: Eye Exam | 43% | 236 |
| Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period | ||
| Documentation of Current Medications in the Medical Record | 100% | 3321 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 98% | 8085 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 17% | 597 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Medication Reconciliation | 100% | 251 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 45% | 1565 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide Patient Access | 100% | 1565 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 11% | 1565 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 2 | 5 | 0 | 0 | 6 | 8 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 0 | 0 | 12 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 0 + 0 + 1 + 2 + 8 + 1 + 2 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1225006869 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477551596 | NANCY GUTTMAN MD Individual | Family Medicine | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 759-0433 |
| 1649278615 | KIMBERLY A KEEF PAC Individual | Physician Assistant (Medical) | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 759-0433 |
| 1073504510 | SYLVIA KERR APRN-CNM Individual | Advanced Practice Midwife | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 759-5331 |
| 1063484046 | DR. DAVID W DOTY D.O. Individual | Obstetrics & Gynecology | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 759-5331 |
| 1912970336 | DR. DONALD R WILSON M.D. Individual | Obstetrics & Gynecology | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 759-5331 |
| 1215905708 | TIMOTHY T GROSSER M.D. Individual | Family Medicine | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 759-0433 |
| 1477598183 | REBECCA S. HOGGE CNM, ARNP Individual | Advanced Practice Midwife | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 759-5331 |
| 1255489910 | LEWIS COUNTY PRIMARY CARE CENTER, INC. Organization | Clinic/Center (Primary Care) | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 796-3029 |
| 1538284401 | LEWIS COUNTY PRIMARY CARE CENTER INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 759-5331 |
| 1679784961 | IGNACIO FELIPE CALVO-SAINZ MD Individual | Internal Medicine | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 759-0433 |
| 1609067016 | DR. SOMA PRADHAN M.D. Individual | Obstetrics & Gynecology | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 759-5331 |
| 1700158490 | STACY LEIGH MICHAEL RDLD Individual | Dietitian, Registered | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 759-5331 |
| 1396065207 | SAMANTHA MARIE OLZESKI DO Individual | Obstetrics & Gynecology | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 759-5331 |
| 1710004031 | DR. ALICIA RENE ADKINS D.M.D. Individual | Dentist | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 759-1008 |
| 1154316065 | RAE JEAN JESSEE APRN Individual | Nurse Practitioner (Family) | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 759-0433 |
| 1326201609 | CYNTHIA D SCHAEFER NP-C Individual | Nurse Practitioner | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 759-0433 |
| 1164668349 | KATHRYN M YOUNG ARNP Individual | Nurse Practitioner (Family) | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 759-5331 |
| 1386054179 | DR. DANIELLE WAYMEYER PHARMD Individual | Health Educator | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 759-0014 |
| 1275604803 | MRS. DEBORAH M WEBER LCSW Individual | Counselor | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 759-0490 |
| 1851497382 | MR. ROBERT FICKLIN ROSS MD Individual | Family Medicine | 927 KENTON STATION DR MAYSVILLE, KY 41056 (606) 759-0433 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225006869, enumerated in the NPI registry as an "individual" on March 09, 2006
The provider is located at 927 Kenton Station Dr Maysville, Ky 41056 and the phone number is (606) 759-0433
The provider's speciality is General Practice with taxonomy code 208D00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Automated urinalysis test, Creatinine level to test for kidney function or muscle injury, Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus, Hemoglobin a1c level and Urine microalbumin (protein) analysis.
This NPI record was last updated on March 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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