Karen M. Gilson, M.D.
Family Medicine Physician · Sewanee, TN
Karen M. 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 M. 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
- Record last updated
- Nov 7, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (931) 598-5198
- Medicaid ID
- 000211956A GA
- Medicare enrollment
- Enrolled (PECOS I20070413000159); accepts Medicare assignment
- Medical or professional school
- University Of Tennessee, Hsc, College Of Medicine, 1988
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 2,674 in Tennessee → Look up another NPI →
Also registered at 1260 University Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Ashish Chakravarthy, MDEmergency Medicine Physician1275589145
- Jeffrey Stirnemann, MDEmergency Medicine Physician1871532564
- Mark Wert, MDEmergency Medicine Physician1467411553
Verify Karen M. 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 3,544 among the 117,163 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 MIPS final score for 2023 (Medicare payment program): 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; by number, the most common kind was food and beverage; the largest payer was Corcept Therapeutics. The 55,478 providers of this specialty with any payment received $902.55 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.
Bills Medicare through one group practice
- David M. Huffman, M.d.,p.c.Chattanooga, TN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Karen M. Gilson among 2,674 family medicine physician records in Tennessee
Karen M. Gilson, M.D. is one of 2,674 family medicine physician records with a practice address in Tennessee. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 83% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated1988 · median 2004 among the 1,685 with a school on file
- Record last updated2019 · 54% 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 Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
3 family medicine physician records list a practice address in Sewanee
They are 3 of the 38 NPPES records with a practice address in Sewanee, and 2,674 family medicine physician records in Tennessee.
All 2,674 in Tennessee → Every provider in Sewanee → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Louis Koella, MDSewanee, TN 373751740250471
- Matthew Petrilla, DOSewanee, TN 373751811967532
- Robert Anfield, MDSignal Mountain, TN 373771104420520
- Daniel Black, DOSale Creek, TN 373731194726604
- Guy Fain, M.D.Signal Mountain, TN 373771184653453
- Kaitlyn Greer, MDSignal Mountain, TN 373771356874028
- Chelsea Ryan, D.O.Signal Mountain, TN 373771558717975
- Krista Cowan, MDSoddy Daisy, TN 373791255994489
Common questions
What is Karen M. Gilson, M.D.'s NPI number?
Karen M. 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 M. 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 M. 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 M. Gilson, M.D. prescribe under Medicare Part D?
In 2024, Karen M. Gilson, M.D. had 791 Medicare Part D claims for 219 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is Karen M. Gilson, M.D.'s MIPS final 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), 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.