Karen Gilson, M.D.
Family Medicine Physician · Sewanee, TN
Karen Gilson, M.D. is a family medicine physician with a practice address in Sewanee, Tennessee, and NPI 1104813211, issued on Oct 4, 2005. Check the license (Tennessee 1092225410, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Karen Gilson
- Credential
- M.D.
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License numbers
- 1092225410 TN
060733 GA
Self-reported in NPPES; status is on the state search - Practice location
- 1260 University Ave, Sewanee, TN 37375
- Phone
- (931) 598-4141
- Enumerated
- Oct 4, 2005
- Entity
- Type 1 · individual
Also registered at 1260 University Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Craig Berger, MDEmergency Medicine Physician1225145097
- Ashish Chakravarthy, MDEmergency Medicine Physician1275589145
- Jeffrey Stirnemann, MDEmergency Medicine Physician1871532564
- Mark Wert, MDIndependent Medical Examiner Physician1467411553
Verify Karen Gilson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTennessee Board of Medical Examiners
Search for license 1092225410Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
78% fewer Medicare Part D claims than the average family medicine physician in 2024
791 Medicare Part D claims for 219 beneficiaries, against an average of 3,519 among the 111,126 providers of this specialty who prescribed in Part D. Brand-name drugs were 30% of claims. 15 claims were for opioids.
Most prescribed
- Mounjaro83 claims
- Pioglitazone Hcl69 claims
- Atorvastatin Calcium23 claims
- Levothyroxine Sodium21 claims
- Shingrix19 claims
- Diclofenac Sodium17 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 Medicare quality score for 2023: 94.7 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.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $914.42
43 payments, mostly food and beverage; the largest payer was Corcept Therapeutics. The 53,013 providers of this specialty with any payment received $861.30 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.
One hospital or facility affiliation
- David M. Huffman, M.d.,p.c.Chattanooga, TN
Source: CMS Doctors and Clinicians affiliations; Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
3 family medicine physician records list a Sewanee practice address
They are 3 of the 38 NPPES records with a Sewanee practice address, and 2,570 family medicine physician records in Tennessee.
All 3 in Sewanee → All 2,570 in Tennessee → Every provider in Sewanee →
Other family medicine physician records in Tennessee
- John Aaron, MDClarksville, TN1629019922
- Rebecca Aaron, MDClarksville, TN1285383018
- Richard Aasheim, M.D.Greeneville, TN1831139005
- Julia Abraham, MDKnoxville, TN1417417403
- Sydney Abramson, MDMurfreesboro, TN1215975180
- Jahn Acevedo-Ortiz, MDSouth Fulton, TN1841936739
- Martin Acree, M.D.Memphis, TN1043217060
- Cecilia Adams, MDBartlett, TN1104823020
- David Adams, M.D.Hixson, TN1467463299
- Ezra Adams, DOJohnson City, TN1427518562
Common questions
What is Karen Gilson, M.D.'s NPI number?
Karen Gilson, M.D.'s National Provider Identifier (NPI) is 1104813211, issued on Oct 4, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Karen Gilson, M.D. located?
The NPPES record lists a practice address at 1260 University Ave, Sewanee, TN, 37375. Phone: (931) 598-4141. Providers update this record themselves, so call before visiting.
How can I verify Karen Gilson, M.D.'s license?
NPPES lists Tennessee license number 1092225410, as entered by the provider. Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Karen Gilson, M.D. prescribe under Medicare Part D?
In 2024, Karen Gilson, M.D. had 791 Medicare Part D claims for 219 beneficiaries; the average among family medicine physician prescribers was 3,519. Part D covers Medicare prescriptions only.
What is Karen Gilson, M.D.'s Medicare quality score?
The 2023 MIPS final score is 94.7 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.