NATHAN DUANE GILMORE (OD) – Optometrist, NPI 1902245202

NATHAN DUANE GILMORE (OD) is a healthcare provider. based in Norton shores, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901004757 (MI). The NPI Number for NATHAN DUANE GILMORE (OD) is 1902245202

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN DUANE GILMORE (OD)
NPI
1902245202
Phone
(231) 780-4700
Address
951 SEMINOLE RD
Enumeration Date
19 June 2013
Last Update Date
12 October 2020

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
6168445650
Graduation Year
2013 (13 years ago)
PAC ID
8729221130
Group Practice PAC ID
3678537628
Professional Enrollment ID
I20130904000952
Address ID
MI494561956SP625XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

Provider Addresses for NATHAN DUANE GILMORE (OD)

  • 951 SEMINOLE RD

    NORTON SHORES, MI 494414341

    Phone: (231) 780-4700

    Fax: (231) 780-4722

    Type: Location

  • 625 E SAVIDGE ST

    SPRING LAKE, MI 494561956

    Phone: (616) 844-5650

    Fax: (616) 844-5696

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($43).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-09-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130904000952IOptometryMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system9897$0
92004New patient complete exam of visual system4040$0
99213Established patient office or other outpatient visit, 20-29 minutes1918$0
92133Imaging of optic nerve1512$0
View full utilization report →

Insurance plans in this area (ZIP 49441)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678537628View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for NATHAN DUANE GILMORE (OD)?
NATHAN DUANE GILMORE (OD) — NPI 1902245202 — is the standard way to identify this listing.
Can I rely on NATHAN DUANE GILMORE (OD) being an active provider?
As of the registry snapshot, NATHAN DUANE GILMORE (OD) is marked active.
What taxonomy line describes NATHAN DUANE GILMORE (OD)?
For research purposes, treat NATHAN DUANE GILMORE (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Does NATHAN DUANE GILMORE (OD) list a practice location?
Patients near Norton Shores, Michigan may find NATHAN DUANE GILMORE (OD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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