NPPES file of Aug 9, 2026

Benjamin Paul Gilmer, MD

Family Medicine Physician · Fletcher, NC

Benjamin Paul Gilmer, MD is a family medicine physician with a practice address in Fletcher, North Carolina, and NPI 1295770618, issued on Jun 19, 2006. Check the license (North Carolina 2009-01049, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1295770618
Name
Benjamin Paul Gilmer
Credential
MD
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
2009-01049 NC
Self-reported in NPPES; status is on the state search
Practice location
1542 Cane Creek RD, Fletcher, NC 28732
Phone
(828) 628-8250
Enumerated
Jun 19, 2006
Record last updated
May 30, 2018 (not updated in 8 years: call before relying on the address or phone)
Fax
(828) 628-8633
Medicaid ID
1295770618 NC
Medicare enrollment
Enrolled (PECOS I20090707000222); accepts Medicare assignment
Medical or professional school
Brody School Of Medicine At East Carolina University, 2006
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 1542 Cane Creek RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Michael Coladonato, MDFamily Medicine Physician1184678005
  2. John Labruyere, PA-CPhysician Assistant1255851499
  3. Angela Zarrella, FNPFamily Nurse Practitioner1841843992

Verify Benjamin Paul Gilmer in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNorth Carolina Medical Board
    Search for license 2009-01049
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the North Carolina license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

40% fewer Medicare Part D claims than the average family medicine physician in 2024

2,117 Medicare Part D claims for 170 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. 56 claims were for opioids.

  1. Benjamin Gilmer2,117
  2. Specialty average3,544

Most prescribed

  1. Atorvastatin Calcium204 claims
  2. Lisinopril134 claims
  3. Gabapentin89 claims
  4. Amlodipine Besylate85 claims
  5. Losartan Potassium72 claims
  6. Ozempic59 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 MIPS final score for 2023 (Medicare payment program): 93.5 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score84.2
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Mountain Area Health Education Center IncFletcher, NC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Benjamin Paul Gilmer among 4,953 family medicine physician records in North Carolina

Benjamin Paul Gilmer, MD is one of 4,953 family medicine physician records with a practice address in North Carolina. 79% 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 12% of them.

  • NPI issued2006 · 12% of these records are older, 51% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 63% of these records are
  • Graduated2006 · median 2006 among the 3,104 with a school on file
  • Record last updated2018 · 50% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

2 family medicine physician records list a practice address in Fletcher

They are 2 of the 144 NPPES records with a practice address in Fletcher, and 4,953 family medicine physician records in North Carolina.

The 8 family medicine physician records with the nearest ZIP codes

  1. Michael Coladonato, MDFletcher, NC 287321184678005
  2. Stephen Blievernicht, MDFlat Rock, NC 287311942268610
  3. Bonnie Dean, M.D.Flat Rock, NC 287311225006554
  4. Everett Engstrom, MDFlat Rock, NC 287311578141081
  5. Olivia Gamboa, MDFlat Rock, NC 287311881037810
  6. Amy Hinton, MDFlat Rock, NC 287311386964302
  7. Jennifer Hovendon, MDFlat Rock, NC 287311891752226
  8. Brittany Matney, MDFlat Rock, NC 287311407218142

Common questions

What is Benjamin Paul Gilmer, MD's NPI number?

Benjamin Paul Gilmer, MD's National Provider Identifier (NPI) is 1295770618, issued on Jun 19, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Benjamin Paul Gilmer, MD located?

The NPPES record lists a practice address at 1542 Cane Creek RD, Fletcher, NC, 28732. Phone: (828) 628-8250. Providers update this record themselves, so call before visiting.

How can I verify Benjamin Paul Gilmer, MD's license?

NPPES lists North Carolina license number 2009-01049, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Benjamin Paul Gilmer, MD prescribe under Medicare Part D?

In 2024, Benjamin Paul Gilmer, MD had 2,117 Medicare Part D claims for 170 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

What is Benjamin Paul Gilmer, MD's MIPS final score?

The 2023 MIPS final score is 93.5 of 100. 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.