LAURA SHANNON GILMORE (MD) – General Practice Physician, NPI 1295764108
General Practice Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
103 GENERAL PRACTICE in OK
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Provider Addresses for LAURA SHANNON GILMORE (MD)
Belfort Road, Pineland Gardens, Jacksonville, Duval County, Florida, 32216, United States
JACKSONVILLE, FL 322566018
Phone: (904) 446-3701
Fax: (885) 507-9833
Type: Mailing
Hillcrest Hospital Pryor, 111, North Bailey Street, Pryor Creek, Mayes County, Oklahoma, 74361, United States
PRYOR, OK 743614201
Phone: (918) 824-7901
Fax: (918) 824-7900
Type: Location
102 N BROADWAY
CARNEGIE, OK 730159800
Phone: (800) 942-2904
Type: Location
1813 ABILENE CT
GRAND PRAIRIE, TX 750522200
Phone: (405) 474-7757
Fax: (405) 410-9795
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $156.
Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Organogenesis Inc. ($122).
Total Amount
$156
General + Research + Ownership
Payments
8
Total payment records
General Amount
$156
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $122 |
| Medline Industries LP | $17 |
| Solventum Corporation | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-08-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060816000485 | I | General Practice | OK | TBD |
| I20100823000880 | I | Internal Medicine | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OK | |
| Nurse Practitioner | OK | |
| Emergency Medicine | OK | |
| Certified Clinical Nurse Specialist (Cns) | OK | |
| Emergency Medicine | OK | |
| - | OK | |
| - | OK | |
| General Surgery | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | TX |
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