What is Carl Gilmore's specialty?

Carl Gilmore (NPI 1003012493) is a Medicare-billing provider whose primary specialty is Orthopedic Surgery in Albuquerque, NM.

Where does Carl Gilmore practice?

Carl Gilmore practices in Albuquerque, NM, based on the location reported in the CMS Medicare provider datasets for NPI 1003012493.

How much does Medicare pay Carl Gilmore?

Carl Gilmore (NPI 1003012493) received approximately $170K in total Medicare Part B payments, serving 490 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1003012493

Carl GilmoreM.D.

Orthopedic SurgeryAlbuquerque, NMI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,462

Unique beneficiaries

—

Total services

4,394

Distinct HCPCS

Medicare payment

$142K

Peer benchmark

Total Medicare services vs. 107 Orthopedic Surgery providers in NM — top quintile (cohort median 864).

PRESCRIBING · PART D · 2024

Total Rx claims

460

Beneficiaries

—

Total drug cost

$5K

Distinct drugs

Brand share

3.5%

Top prescribed drugs

Meloxicam139 claims

Oxycodone Hcl99 claims

Tramadol Hcl91 claims

Amoxicillin59 claims

Naloxone Hcl43 claims

QUALITY · MIPS · 2024

Final MIPS score

76.4

Quality

60.6

Cost

87.3

Improvement activities

40.0

Promoting interop.

68.0

Payment adjustment

0.06%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Travel and Lodging$1K

Food and Beverage$988

Top paying entities

Travel and Lodging$1K

Food and Beverage$988

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 327123

Home health agency

CCN 320021

Hospital

CCN 320074

Hospital

REFERRAL NETWORK

Where Carl Gilmore's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 5 inbound referrers · 9 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
PRESBYTERIAN HEALTHCARE SERVICES	94	733
PRESBYTERIAN HEALTHCARE SERVICES	25	75
Juan Mena Diagnostic Radiology · Albuquerque, NM	15	47
Douglas Meek Diagnostic Radiology · Albuquerque, NM	15	44
TRICORE REFERENCE LABORATORIES	13	44

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
PRESBYTERIAN HEALTHCARE SERVICES	142	1,162
Juan Mena Diagnostic Radiology · Albuquerque, NM	27	93
PRESBYTERIAN HEALTHCARE SERVICES	25	85
Douglas Meek Diagnostic Radiology · Albuquerque, NM	23	70
Patrick Ryan Diagnostic Radiology · Walnut Creek, CA	18	38
Samuel Southam Diagnostic Radiology · Provo, UT	16	36
Eugenio Rivera Diagnostic Radiology · Albuquerque, NM	13	41
Chris Bauman Diagnostic Radiology · Plymouth, MN	12	42
John Collingwood Diagnostic Radiology · Albuquerque, NM	11	25

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events