MEGAN DIANNE GILLEM (D.O.) – Family Medicine Physician, NPI 1093005704
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,706 FAMILY PRACTICE in TX
Provider Addresses for MEGAN DIANNE GILLEM (D.O.)
4921 LONG PRAIRIE RD
SUITE 100
FLOWER MOUND, TX 750282716
Phone: (972) 691-8700
Fax: (972) 691-8782
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $112.
Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.
Last reported payment date: 2023-08-03 • Largest payer in this snapshot: Corium, LLC ($112).
Total Amount
$112
General + Research + Ownership
Payments
1
Total payment records
General Amount
$112
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $112 |
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: 2014-11-11
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 |
|---|---|---|---|---|
| I20141111002355 | I | Family Practice | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 174 | 126 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 164 | 124 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 159 | 119 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 151 | 113 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 133 | 107 | $0 |
Insurance plans in this area (ZIP 75028)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Physician Assistant | MD | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | NY | |
| Physician Assistant | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX |
Reviews
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