KAREN GILSON, M.D.
Family Medicine Physician · SEWANEE, TN
Individual Active NPI 1104813211
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 186 | 300 | $283,646 | $33,117 | $24,101 |
| 2023 | 193 | 357 | $307,362 | $38,919 | $30,080 |
| 2022 | 156 | 245 | $262,090 | $30,373 | $24,585 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 116 | $161 | $117 |
| 99284 | Emergency department visit with moderate level of medical decision making | 48 | $111 | $83 |
| 83036 | Hemoglobin a1c level | 21 | $9 | $9 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 17 | $118 | $76 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 17 | $32 | $23 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 16 | $3 | $3 |
| 99283 | Emergency department visit with low level of medical decision making | 12 | $65 | $48 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 060733 | GA |
| Family Medicine Physician | 207Q00000X | 1092225410 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.