DR. ALBERT F IV GILMAN (M.D.) – Surgery Physician, NPI 1225094436
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
Provider Addresses for DR. ALBERT F IV GILMAN (M.D.)
Decatur Memorial Hospital, 2300, North Edward Street, Old King's Orchard, Decatur, Macon County, Illinois, 62526, United States
GSBLL
DECATUR, IL 625264163
Phone: (217) 876-2857
Fax: (217) 876-2874
Type: Mailing
1 MEMORIAL DR STE 300
DECATUR, IL 625266322
Phone: (217) 876-5500
Fax: (217) 876-5505
Type: Location
302, West Hay Street, Decatur, Macon County, Illinois, 62526, United States
STE 140
DECATUR, IL 625264167
Phone: (217) 877-5421
Fax: (217) 877-0234
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $56.
Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.
Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Mirati Therapeutics, Inc. ($22).
Total Amount
$56
General + Research + Ownership
Payments
3
Total payment records
General Amount
$56
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mirati Therapeutics, Inc. | $22 |
| Organogenesis Inc. | $20 |
| Novartis Pharmaceuticals Corporation | $14 |
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: 2005-03-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20050317000583 | I | General Surgery | IL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 78 | 35 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 61 | 61 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 38 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 32 | $0 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 33 | 33 | $0 |
Insurance plans in this area (ZIP 62526)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | IL | 11042 | Removal of skin and tissue first 20 sq cm or less | 145 | 49 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Clinical Social Worker | IL | |
| - | IL | |
| Interventional Cardiology | MO | |
| Family Practice | IL | |
| - | IL | |
| Family Practice | MO | |
| Physical Therapist In Private Practice | IL |
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