2026 NPPES data Colon & Rectal Surgery Physician NPI 1962697417 MD
Verify on CMS →

KELLY GILMORE, MD

Colon & Rectal Surgery Physician in HOUSTON, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
548
Medicare Part D claims · 154 beneficiaries · Colon & Rectal Surgery Physician avg: 196
MIPS score
89.4449/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$368.71
8 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KELLY GILMORE, MD is a Colon & Rectal Surgery Physician ([object Object]) practicing in HOUSTON, Texas with a Medicare Part D prescribing footprint of 548 claims across 154 beneficiaries . Their CMS MIPS Final Score of 89.4449/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $368.71 across 8 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KELLY GILMORE, MD reported a CMS MIPS final score of 89.4449 out of 100, above the 83.1 national average, and filed 548 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KELLY GILMORE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

KELLY GILMORE, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 09/07/2007

NPI 1962697417

Primary specialty

Colon & Rectal Surgery Physician

Niche

1,608 US NPIs in this specialty

Medicare Part D claims

548 180% vs specialty avg

2023 prescription claims

Specialty avg: 196

MIPS final score

89.4449/100 6.34490000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Colon & Rectal Surgery Physician compares to other specialties among Texas providers

Texas providers

Colon & Rectal Surgery Physician share within Texas

1. Colon & Rectal Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Colon & Rectal Surgery Physician share within Texas

Medicare quality performance — MIPS

KELLY GILMORE, MD's 2023 MIPS final score plotted against the Colon & Rectal Surgery Physician national average

High performer (top quartile)
MIPS Final Score
89.4449/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Colon & Rectal Surgery Physician) — 89.4449/100 vs national avg 83.1

0%100%National avg83%89.4%
MIPS final score (Colon & Rectal Surgery Physician) — 89.4449/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

KELLY GILMORE, MD is a Colon & Rectal Surgery Physician provider practicing in HOUSTON, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1962697417. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KELLY GILMORE, MD appears in the CMS NPPES registry as a Colon & Rectal Surgery Physician provider holding MD credentials at 6550 FANNIN ST, HOUSTON, TX, 77030, with a listed phone of (713) 790-9250. NPI 1962697417 was issued on 09/07/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GILMORE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 548 prescription claims written by this provider, covering 154 Medicare beneficiaries and totaling roughly $22K in drug spend, with an opioid prescribing rate of 12.2%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.4449/100 for the 2023 performance year (Quality 75.8575), compared with the national average of 83.1.

Colon & Rectal Surgery Physician is a narrow specialty nationwide, with 1,608 enrolled providers across 50 states and an average of 196 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

6550 FANNIN ST
HOUSTON, TX 77030

Provider Details

NPI 1962697417
Specialty Colon & Rectal Surgery Physician
Credentials MD
Gender Female
NPI Issued 09/07/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

89.4449
Final Score
Avg: 83.1
75.8575
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where KELLY GILMORE, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

TEXAS ONCOLOGY PA
JACKSONVILLE, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for KELLY GILMORE, MD. Source: openpaymentsdata.cms.gov.

Total received

$369

Largest payer

INTUITIVE SURGICAL, INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to KELLY GILMORE, MD. To verify KELLY GILMORE, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

548
Total Claims
$22K
Total Drug Cost
154
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
601
Total Day Supply
10,675
Generic Drug Cost
$13K
Opioid Claims
67 (12.2% rate)
Antibiotic Claims
98

Patient Demographics

Average Patient Age
69.6 years
Avg HCC Risk Score
1.84
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Hydrocortisone
55
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
49
Colestipol Hcl
33
Metronidazole
30
Methocarbamol
27
Tramadol Hcl
16
Ciprofloxacin Hcl
15
Diazepam
15
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
14
Procto-Med Hc
Hydrocortisone
14

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Colon & Rectal Surgery Physician Overview

How KELLY GILMORE, MD fits within the Colon & Rectal Surgery Physician landscape nationally.

1,608
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
196
Avg Claims per Provider

KELLY GILMORE, MD's 548 claims are above the specialty average of 196.

Nearby Colon & Rectal Surgery Physician Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as GILMORE.

Compare Colon & Rectal Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KELLY GILMORE, MD's specialty?
KELLY GILMORE, MD specializes in Colon & Rectal Surgery Physician and practices in HOUSTON, Texas. Credentials: MD.
How much does KELLY GILMORE, MD prescribe under Medicare Part D?
In 2023, KELLY GILMORE, MD wrote 548 Medicare Part D claims totaling $22K in drug costs for 154 beneficiaries.
What is KELLY GILMORE, MD's Medicare quality score?
KELLY GILMORE, MD has a CMS MIPS Final Score of 89.4449/100 (Quality: 75.8575). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KELLY GILMORE, MD located?
KELLY GILMORE, MD is located at 6550 FANNIN ST, HOUSTON, TX, 77030. Phone: (713) 790-9250.
What is KELLY GILMORE, MD's NPI number?
KELLY GILMORE, MD's National Provider Identifier (NPI) is 1962697417, issued on 09/07/2007.
Does KELLY GILMORE, MD prescribe opioids?
Yes, KELLY GILMORE, MD had 67 opioid claims in 2023 with an opioid prescribing rate of 12.2%.
How many Colon & Rectal Surgery Physician providers are there in the US?
There are 1,608 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 196 Medicare Part D claims per year.
What drugs does KELLY GILMORE, MD prescribe most often?
Based on 2023 Medicare Part D data, KELLY GILMORE, MD's most frequently prescribed drugs include Hydrocortisone, Hydrocodone-Acetaminophen, Colestipol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KELLY GILMORE, MD accept Medicare?
KELLY GILMORE, MD appears in CMS Medicare data with 548 Part D claims and 154 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KELLY GILMORE, MD's credentials?
KELLY GILMORE, MD's NPI is 1962697417 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology