MR. CASEY MCCONNELL GILMORE (PA-C) – Physician Assistant, NPI 1013290782

MR. CASEY MCCONNELL GILMORE (PA-C) is a healthcare provider. based in Cincinnati, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50.003344 (OH). The NPI Number for MR. CASEY MCCONNELL GILMORE (PA-C) is 1013290782

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. CASEY MCCONNELL GILMORE (PA-C)
NPI
1013290782
Phone
(513) 305-9722
Address
8912 SANDYMAR DR
Enumeration Date
20 September 2011
Last Update Date
10 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
3274709951
Group Practice PAC ID
3072414333
Professional Enrollment ID
I20221026002788
Address ID
MI496608904MA1293XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for MR. CASEY MCCONNELL GILMORE (PA-C)

  • 8912 SANDYMAR DR

    CINCINNATI, OH 452427322

    Phone: (513) 305-9722

    Type: Mailing

  • 4106 EDITH AVE

    CINCINNATI, OH 452273144

    Phone: (513) 271-3228

    Type: Mailing

  • 375 DIXMYTH AVE

    DEPARTMENT OF EMERGENCY MEDICINE

    CINCINNATI, OH 452202475

    Phone: (513) 862-2989

    Type: Location

  • 1293 E Parkdale Ave

    Manistee, MI 496608904

    Phone: (231) 398-1840

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $646.

Total Amount is formed as General ($646) + Research ($0) + Ownership ($0) = $646.

Last reported payment date: 2024-04-09 • Largest payer in this snapshot: ABBVIE INC. ($253).

Total Amount

$646

General + Research + Ownership

Payments

32

Total payment records

General Amount

$646

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-09

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: 2022-10-26

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
I20221026002788IPhysician AssistantMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45242)

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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: 3072414333View full group profile
NameSpecialtyState
Physician AssistantMI
Nurse PractitionerMI
U R O L O G YMI
Physician AssistantMI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
Clinical Social WorkerMI
Nurse PractitionerMI
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

Can I use this page to confirm MR. CASEY MCCONNELL GILMORE (PA-C)'s NPI?
Yes. MR. CASEY MCCONNELL GILMORE (PA-C) is listed with NPI 1013290782 in the public NPI dataset.
Does the file indicate MR. CASEY MCCONNELL GILMORE (PA-C) is practicing under active NPI?
Directory data currently reports MR. CASEY MCCONNELL GILMORE (PA-C) as active.
What is MR. CASEY MCCONNELL GILMORE (PA-C) best known for clinically?
Directory data describes MR. CASEY MCCONNELL GILMORE (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does MR. CASEY MCCONNELL GILMORE (PA-C) serve?
MR. CASEY MCCONNELL GILMORE (PA-C)'s listing highlights Cincinnati, Ohio; more addresses can appear in NPPES.
Is the information about MR. CASEY MCCONNELL GILMORE (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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