Albert F. Gilman, M.D.
Surgery Physician · Decatur, IL
Albert F. Gilman, M.D. is a surgery physician with a practice address in Decatur, Illinois, and NPI 1225094436, issued on Apr 25, 2006. Check the license (Illinois 036098200, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Albert F. Gilman
- Credential
- M.D.
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- 036098200 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1 Memorial Dr Ste 300, Decatur, IL 62526
- Phone
- (217) 876-5500
- Enumerated
- Apr 25, 2006
- Record last updated
- Oct 20, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (217) 876-5505
- Medicare enrollment
- Enrolled (PECOS I20050317000583); accepts Medicare assignment
- Medical or professional school
- Wake Forest University School Of Medicine, 1993
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 1,520 in Illinois → Look up another NPI →
Also registered at 1 Memorial Dr Ste 300
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Timothy Bailey, M.D.Surgery Physician1053378976
- George Liu, MDSurgery Physician1528164951
- Jessica Ryder, NP-CFamily Nurse Practitioner1225541469
Verify Albert F. Gilman in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036098200Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
37% more Medicare Part D claims than the average surgery physician in 2024
201 Medicare Part D claims for 168 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims. 72 claims were for opioids.
Most prescribed
- Sod Sulf-Potass Sulf-Mag Sulf87 claims
- Tramadol Hcl71 claims
- Peg 3350-Electrolyte12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 67.2 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $21.79
1 payment: food and beverage; the largest payer was Mirati Therapeutics, Inc. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
2 hospitals and group practices
- Decatur Memorial HospitalDecatur, IL · Acute Care Hospitals3 of 5 stars
- Pana Community Hospital AssociationPana, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Albert F. Gilman among 1,520 surgery physician records in Illinois
Albert F. Gilman, M.D. is one of 1,520 surgery physician records with a practice address in Illinois. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.
- NPI issued2006 · 8% of these records are older, 64% newer
- In a Medicare fileYes · 66% of these records are
- In the CMS Doctors and Clinicians fileYes · 43% of these records are
- Graduated1993 · median 2004 among the 650 with a school on file
- Record last updated2021 · 49% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in Illinois
There are 1,520 surgery physician records in Illinois.
All 1,520 in Illinois → Every provider in Decatur → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Timothy Bailey, M.D.Decatur, IL 625261053378976
- Carl Birk, M.D.Decatur, IL 625261386601391
- Donald Kamm, MDDecatur, IL 625261225005382
- George Liu, MDDecatur, IL 625261528164951
- Robin Riley, M.D.Decatur, IL 625261215390406
- Scott Sherwood, M.D.Decatur, IL 625261295791341
- Ranjodh Singh, MDDecatur, IL 625261013161538
- Mohammad TorabiDecatur, IL 625261245769876
Common questions
What is Albert F. Gilman, M.D.'s NPI number?
Albert F. Gilman, M.D.'s National Provider Identifier (NPI) is 1225094436, issued on Apr 25, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Albert F. Gilman, M.D. located?
The NPPES record lists a practice address at 1 Memorial Dr Ste 300, Decatur, IL, 62526. Phone: (217) 876-5500. Providers update this record themselves, so call before visiting.
How can I verify Albert F. Gilman, M.D.'s license?
NPPES lists Illinois license number 036098200, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Albert F. Gilman, M.D. prescribe under Medicare Part D?
In 2024, Albert F. Gilman, M.D. had 201 Medicare Part D claims for 168 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is Albert F. Gilman, M.D.'s MIPS final score?
The 2023 MIPS final score is 67.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.