DR. OWEN BUCK GILMORE (M.D.) – Family Medicine Physician, NPI 1194727198

DR. OWEN BUCK GILMORE (M.D.) is a healthcare provider. based in Tahlequah, Oklahoma. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 21767 (OK). The NPI Number for DR. OWEN BUCK GILMORE (M.D.) is 1194727198

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. OWEN BUCK GILMORE (M.D.)
NPI
1194727198
Phone
(918) 458-3100
Address
525 W DOWNING ST
Enumeration Date
10 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
9184583100
Graduation Year
1982 (44 years ago)
PAC ID
7315955846
Group Practice PAC ID
5799698742
Professional Enrollment ID
I20090116000129
Address ID
OK744642512TA100XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

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Provider Addresses for DR. OWEN BUCK GILMORE (M.D.)

  • 525, West Downing Street, Tahlequah, Cherokee County, Oklahoma, 74464, United States

    TAHLEQUAH, OK 744642713

    Phone: (918) 458-3100

    Type: Mailing

  • 100, Bliss Avenue, Tahlequah, Cherokee County, Oklahoma, 74464, United States

    TAHLEQUAH, OK 744642512

    Phone: (918) 458-3100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-01-16

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
I20090116000129IFamily PracticeTXTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4328$0
99238Hospital discharge day management, 30 minutes or less1817$0
View full utilization report →

Insurance plans in this area (ZIP 74464)

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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: 5799698742View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. OWEN BUCK GILMORE (M.D.)?
DR. OWEN BUCK GILMORE (M.D.) — NPI 1194727198 — is the standard way to identify this listing.
Is DR. OWEN BUCK GILMORE (M.D.) listed as active for patients and plans?
The listing shows DR. OWEN BUCK GILMORE (M.D.) as active in the NPI system.
What is DR. OWEN BUCK GILMORE (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. OWEN BUCK GILMORE (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. OWEN BUCK GILMORE (M.D.) serve?
DR. OWEN BUCK GILMORE (M.D.)'s listing highlights Tahlequah, Oklahoma; more addresses can appear in NPPES.
Why does DR. OWEN BUCK GILMORE (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.