STEVAN GILMORE M.D.
NPI 1275631418
Emergency Medicine in Baytown, TX
NPI Status: Active since September 20, 2006
- Individual
- Male
- Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
About STEVAN GILMORE
This page provides the complete NPI Profile along with additional information for Stevan Gilmore, a provider established in Baytown, Texas with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1275631418 assigned on September 2006. The practitioner's primary taxonomy code is 207P00000X with license number L2278 (TX). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1275631418
- Provider Name
- STEVAN GILMORE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4401 GARTH RD BAYTOWN, TX 77521
- Location Phone
- (281) 837-6037
- Mailing Address
- 2437 BAY AREA BLVD #163 HOUSTON, TX 77058
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-20-2006
- Last Update Date
- 07-08-2007
- Code Navigator
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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- L2278
- License State
- TX
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Guided Care - HMO
- Gold Classic Standard - EPO
- Gold Classic Standard Guided Care - HMO
- Gold Elite - EPO
- Gold Simple Guided Care - HMO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard Guided Care - HMO
- Silver Simple Chronic Care CKM Guided Care - HMO
- Silver Simple Diabetes Guided Care - HMO
- Silver Simple Guided Care - HMO
- Silver Simple PCP Saver - EPO
- Silver Simple PCP Saver Guided Care - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Stevan Gilmore 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: Durable Medical Equipment (DME) 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: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 77521 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.4
- Minimum New Patient Price $58.24
- Maximum New Patient Price $176.98
- Average New Patient Copayment $22.6
- Minimum New Patient Copayment $14.56
- Maximum New Patient Copayment $44.24
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.71
- Minimum Established Patient Price $18.6
- Maximum Established Patient Price $143.93
- Average Established Patient Copayment $25.67
- Minimum Established Patient Copayment $4.65
- Maximum Established Patient Copayment $35.98
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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 | 7 | 5 | 6 | 3 | 1 | 4 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 12 | 3 | 2 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 2 + 3 + 2 + 4 + 2 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1275631418 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1194714659 | BAYTOWN RADIOLOGY ASSOCIATION Organization | Radiology (Diagnostic Radiology) | 4401 GARTH RD BAYTOWN, TX 77521 (281) 359-7788 |
| 1164523619 | ROBERT D SHEPPARD MD Individual | Emergency Medicine | 4401 GARTH RD BAYTOWN, TX 77521 (281) 420-8600 |
| 1093816274 | TRACY HANCOCK NP Individual | Nurse Practitioner | 4401 GARTH RD BAYTOWN, TX 77521 (281) 420-8600 |
| 1174607857 | AMIR RASSOLI DO Individual | Emergency Medicine (Emergency Medical Services) | 4401 GARTH RD BAYTOWN, TX 77521 (616) 734-0335 |
| 1518041201 | KEVIN BARRETT MD Individual | Emergency Medicine | 4401 GARTH RD BAYTOWN, TX 77521 (616) 734-0335 |
| 1609950385 | KIRK SHULKE MD Individual | Emergency Medicine | 4401 GARTH RD BAYTOWN, TX 77521 (281) 420-8600 |
| 1467536144 | ROBERT PANZARELLA MD Individual | Emergency Medicine | 4401 GARTH RD BAYTOWN, TX 77521 (616) 734-0335 |
| 1336224617 | MICHAEL HARRINGTON MD Individual | Emergency Medicine | 4401 GARTH RD BAYTOWN, TX 77521 (281) 420-8600 |
| 1891864112 | DANIEL N NGUYEN MD AND ASSOCIATES Organization | Internal Medicine | 4401 GARTH RD BAYTOWN, TX 77521 (713) 850-1190 |
| 1487726873 | EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION Organization | Emergency Medicine | 4401 GARTH RD BAYTOWN, TX 77521 (281) 420-8600 |
| 1619043858 | LAIRD A SWEET MD Individual | Emergency Medicine | 4401 GARTH RD BAYTOWN, TX 77521 (281) 420-8600 |
| 1508067083 | OLUKAYODE O OKUWOBI MD PA Organization | Internal Medicine | 4401 GARTH RD BAYTOWN, TX 77521 (713) 850-1190 |
| 1386805828 | ENRIQUE MIGUEL GOMEZ MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 4401 GARTH RD BAYTOWN, TX 77521 (281) 420-8600 |
| 1104262799 | QUYNHBUIMD PLLC Organization | Internal Medicine | 4401 GARTH RD BAYTOWN, TX 77521 (281) 420-8600 |
| 1841638459 | SOUND INPATIENT PHYSICIANS OF TEXAS I, INC Organization | Hospitalist | 4401 GARTH RD BAYTOWN, TX 77521 (281) 420-8600 |
| 1013154590 | DR. STEVEN BENJAMIN ALBRIGHT M.D. Individual | Plastic Surgery | 4401 GARTH RD BAYTOWN, TX 77521 (281) 420-8658 |
| 1518068790 | SHANNAN MOYNIHAN MD Individual | Emergency Medicine | 4401 GARTH RD BAYTOWN, TX 77521 (281) 420-8600 |
| 1730577396 | KATHIE-ANN LEE Individual | Nurse Practitioner (Acute Care) | 4401 GARTH RD BAYTOWN, TX 77521 (281) 420-8528 |
| 1356724181 | MELISSA A CRAIN NP Individual | Nurse Practitioner (Family) | 4401 GARTH RD BAYTOWN, TX 77521 (281) 420-9600 |
| 1447249073 | LUIS M ALBUERNE M.D. Individual | Radiology (Diagnostic Radiology) | 4401 GARTH RD BAYTOWN, TX 77521 (281) 359-7788 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275631418, enumerated in the NPI registry as an "individual" on September 20, 2006
The provider is located at 4401 Garth Rd Baytown, Tx 77521 and the phone number is (281) 837-6037
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and Oscar. 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: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $90.4 with an average copayment of $22.6 for new patient appointments. Established patients should expect a typical charge of $102.71 and an average copayment of 25.67. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 20, 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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