DR. JOHN RUSSELL GILMORE (M.D.) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1194778928
Otolaryngology/Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
892 OTOLARYNGOLOGY in TX
Provider Addresses for DR. JOHN RUSSELL GILMORE (M.D.)
1703 N Beckley Ave
Dallas, TX 752031007
Phone: (214) 361-5285
Type: Location
North Central Expressway, Knox, Dallas, TX, Dallas, Dallas County, Texas, 75204:75206, United States
SUITE 120
DALLAS, TX 752312161
Phone: (214) 361-5285
Fax: (214) 946-7844
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $263.
Total Amount is formed as General ($263) + Research ($0) + Ownership ($0) = $263.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($75).
Total Amount
$263
General + Research + Ownership
Payments
13
Total payment records
General Amount
$263
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-03-22
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 |
|---|---|---|---|---|
| I20050322000916 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 152 | 110 | $0 |
| 69210 | Removal of impacted ear wax | 149 | 110 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 129 | 84 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 97 | 97 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 88 | 88 | $0 |
Insurance plans in this area (ZIP 75203)
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